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How to listen and ask the right questions to personalize management (part 1)
ICS 2015: Nocturia Plenary Satellite Symposium, Montreal, Canada
The speakers provide interactive patient cases in order to discuss methods for arriving at the correct diagnosis and choosing the optimal, patient-tailored therapy, taking into account the patient’s comorbidities. The presentations feature panel discussions; furthermore, the audience participates through voting and discussions.
Prof. Carlson presents the case of a 36-year-old female teacher who experiences nocturia twice per night, but is otherwise healthy. Evidence from studies shows that over one third of the population under 40 years of age are affected by nocturia and that nocturia is caused by nocturnal polyuria in up to 88% of the patients. A careful diagnosis, including the evaluation of underlying conditions, consumption of beverages and current medications, is essential for choosing the optimal treatment. The use of frequency-volume charts and voiding diaries is also highly recommended. Prof. Carlson discusses lifestyle changes as first-line therapy option, for example by reducing fluid intake, avoiding caffeinated beverages and alcohol as well as improving the sleep environment. Pharmacotherapy, such as desmopressin, can also be considered.