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Real-Time Void Spot Assay
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Nocturia.

Mark S Soloway1, Jeffrey P Weiss2, Alan J Wein3

  • 1Memorial Healthcare System, Aventura, FL, USA. mssoloway@yahoo.com.

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Summary
This summary is machine-generated.

This study examines persistent nocturia in a 52-year-old man despite treatment for benign prostatic hyperplasia (BPH). It highlights that even after addressing daytime symptoms, nocturia can remain a bothersome issue requiring further investigation.

Keywords:
Case reportCystoscopyNocturia

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Area of Science:

  • Urology
  • Men's Health
  • Lower Urinary Tract Symptoms

Background:

  • Benign prostatic hyperplasia (BPH) commonly causes lower urinary tract symptoms (LUTS), including nocturia.
  • Alpha-blockers like tamsulosin are a first-line treatment for BPH-related LUTS.

Observation:

  • A 52-year-old man with BPH experienced complete resolution of daytime urgency and frequency with tamsulosin.
  • Nocturia persisted (2-4 times per night) despite medication, lifestyle changes, and normal cystoscopy/urinalysis.
  • Post-void residual (PVR) volume was 40 ml, indicating incomplete bladder emptying.

Findings:

  • Tamsulosin effectively treated daytime LUTS but did not resolve nocturia in this patient.
  • Normal cystoscopy and urinalysis ruled out significant bladder outlet obstruction or infection as causes of persistent nocturia.
  • The patient's sleep and snoring patterns were normal, suggesting sleep apnea was not a contributing factor.

Implications:

  • Persistent nocturia in BPH patients may require evaluation beyond standard LUTS treatment.
  • Further investigation into causes of persistent nocturia, such as bladder dysfunction or other underlying conditions, is warranted.
  • Optimizing bladder emptying and managing nocturia remain critical for improving quality of life in men with BPH.