ABSTRACT

One of the most common reasons for interrupted sleep in the general adult population is nocturia – waking during the night to urinate.1 Many individuals with nocturia suffer from other lower urinary tract symptoms (LUTS) such as urinary frequency, weak stream, urgency, incontinence, etc. In women, these symptoms are often considered to result from aging, or as a consequence of childbirth. In men, the symptoms are most often attributed to benign prostatic hypertrophy (BPH). In fact, recent literature suggests that the majority of men prior to transurethral prostatectomy (TURP) have nocturia 2 times, whereas over 90% of the same men arise less than twice to void following TURP.2 So, why not just perform a TURP on all men with nocturia? We herein describe an approach to nocturia in the ensuing paragraphs which will provide an adequate answer to this question.