Nocturia is a prevalent and highly bothersome lower urinary tract symptom (LUTS) affecting men and women of all ages. In waking to void there is disruption to an individual’s sleep that can lead to daytime tiredness and a loss of vitality. This may significantly impact upon physical, mental, and social wellbeing. It is recognised that nocturia has a multifactorial aetiopathogenesis that encompasses systemic, psychogenic, as well as lower urinary tract factors, necessitating separate evaluation to other LUTS. In particular, nocturnal polyuria is an under-recognised cause of nocturia that may respond well to antidiuretic pharmacotherapy.
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