![]() Patients who make at least 2 or more nocturnal bathroom visits a night, have more than double the risk of fractures and fall-related traumas. ![]() Of these, 25% are directly related to nocturia. A quarter of all the falls that occur in older individuals happen overnight. In particular, older adults with nocturia who make multiple nocturnal trips to the bathroom are at substantially increased risk of potentially serious falls. Nocturia affects overall health and daytime functioning from loss of sleep, risks falls and injuries at night, reduces the quality of life, lowers productivity, and may even affect the health of the partner whose sleep is often disrupted as well. About half of the patients with daytime urinary urgency will also have nocturia. Those with nocturia of three or more nocturnal voids per night have a significantly higher overall mortality rate than the general population. Nocturia frequently accompanies an overactive bladder not explainable by urinary tract infections or other identifiable disorders. This would technically be defined as a convenience void Getting up at night for any reason other than the need to urinate is technically not nocturia although it will appear as such on voiding diaries. Nocturnal frequency is very similar to nocturia except that in nocturia the voiding episodes are each preceded and followed by sleep periods. Nocturnal enuresis is a completely different disorder as patients are generally not aware of a full bladder and typically experience an involuntary void while in bed. This means the first-morning void is not considered when determining nocturia episodes. A period of sleep must precede and follow the urinary episode to count as a nocturnal void. Nocturia is defined as the need for a patient to get up at night on a regular basis to urinate. Nocturia can be associated with long-term sleep deprivation in addition to the inconvenience that it causes. ![]() One in three adults older than age 30 make at least two trips to the bathroom every night, and about 70% of these individuals are bothered by this. It affects 50 million people in the United States, with 10 million actually diagnosed with nocturia but only 1.5 million receiving specific therapy for it. Nocturia is often described as the most bothersome of all urinary symptoms and is also one of the most common.
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