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. 2022 Jul;16(7):E336-E349.
doi: 10.5489/cuaj.7970.

Canadian Urological Association best practice report: Diagnosis and management of nocturia

Laura N Nguyen  1 , Harkanwal Randhawa  1 , Geneviève Nadeau  2 , Ashley Cox  3 , Duane Hickling  4 , Lysanne Campeau  5 , Juliana Li  6 , Blayne Welk  7 , Kevin Carlson  8 , Greg Bailly  3 , Richard Baverstock  9 , Sender Herschorn  10
Affiliations

Canadian Urological Association best practice report: Diagnosis and management of nocturia

Laura N Nguyen et al. Can Urol Assoc J. 2022 Jul.
No abstract available

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Conflict of interest statement

Competing interests: Dr. Nguyen has been a speaker for Astellas and Pfizer. Dr. Nadeau has been an advisory board member for Allergan, Astellas, Boston Scientific, Ferring, and Pfizer; has been a speaker for Allergan, Astellas, Boston Scientific, Ferring, Laborie, Pfizer, Red Leaf Medical, and Searchlight Pharma; has received payment from Allergan, Boston Scientific, Red Leaf Medical, and Searchlight Pharma (preceptorships); and has received a research grant from Pfizer. Dr. Cox has been an advisory board member for Astellas, Pfizer, and TEVA; a speaker for Astellas and Pfizer; and is the site lead of a clinical trial supported by Aquinox. Dr. Campeau has been an advisory board member for Allergan, Astellas, and Coloplast; and has been a speaker for Astellas and Coloplast. Dr. Carlson has been an advisory board member for and received honoraria from Abbvie. The remaining authors do not report any competing personal or financial interests related to this work.

Figures

Figure 1
Figure 1
Prevalence of nocturia (A) one or more times per night; and (B) two or more times per night in Canadian adults, by age and sex.
Figure 2
Figure 2
Initial workup of patients presenting with nocturia. ESS: Epworth Sleepiness Scale; ICIQ-N: International Consultation on Incontinence Questionnaire-Nocturia; N-QoL: Nocturia Quality of Life Questionnaire; NI-Diary: Nocturia Impact Diary; OSA: obstructive sleep apnea; PSA: prostate-specific antigen; TANGO SF: Targeting the Individual’s Aetiology of Nocturia to Guide Outcomes Short Form.
Figure 3
Figure 3
Multimodal approach to management of nocturia, organized by disease domains with subsequent pathways for treatment and consideration of specialist referral. Note that nocturia is often multifactorial and requires workup and management across multiple domains to achieve patient treatment goals. Clinical specialties listed are not exhaustive and may vary by region. 5ARI: 5-alpha-reductase inhibitors; BOO: bladder outlet obstruction; CPAP: continuous positive airway pressure; OAB: overactive bladder; OSA: obstructive sleep apnea; PCP: primary care practitioner.
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