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Introduction to Guidelines about Nocturia
Guidelines and Expert Consensus Documents aim to present all the relevant evidence on a particular issue in order to help physicians to weigh the benefits and risks of a particular diagnostic or therapeutic procedure. They should be helpful in everyday clinical decision-making. It is therefore of great importance that Guidelines and recommendations are presented in formats that are easily interpreted.
To date, several Guidelines have been produced on the diagnosis and treatment of lower urinary tract symptoms (LUTS), and many of them also have included Nocturia. Of course, the aim of each individual Guideline can differ from the other, as some have been specifically addressed to investigate LUTS in men, some others to generally investigate only diagnosis and treatment of UI. When deeply investigating LUTS and particularly Nocturia, we propose to take into account the following Guidelines. Written particularly from urologists for urologists, these Guidelines are easily available from specific journal and/or websites:
- The standardization of terminology in Nocturia: Report from the standardization Sub-Committee of the International Continence Society. Neurourol Urodyn 2002.
- The New England Research Institutes, Inc. (NERI) Nocturia Advisory Conference 2012: focus on outcomes of therapy.
- NICE Clinical Guidelines 2010. National Institute for Health and Care Excellence. The management of lower urinary tract symptoms in men.
- EAU Guidelines on urinary incontinence; Up-date March 2013. European Association of Urology, 2013.
Management of Male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO) European Association of Urology, 2013.When looking at Guidelines with an exhaustive content on all aspects of Nocturia, we would like to highlight those from Van Kerrebroeck and co-workers, and those from Weiss and co-workers.
From this review it appears the urgent need of the evaluation of Nocturia in women, and the investigation of particular aspects in the field of Nocturia, as those pointed out in the work of Weiss and co-workers. This is because, as remarked at the beginning of the NICE Guidelines article, “a man is master of his soul and servant of his bladder”.