Nocturia Overview: a survey from General Practitioners in Indonesia

Madhyra Tri  Indraswari; Harrina Erlianti  Rahardjo

doi:10.15562/bmj.v12i2.4256

Nocturia Overview: a survey from General Practitioners in Indonesia

Madhyra Tri Indraswari ,

Harrina Erlianti Rahardjo ,

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DOI: https://doi.org/10.15562/bmj.v12i2.4256 |
Published: 2023-07-04

Abstract

Link Video Abstract: https://youtu.be/5cvWJq-8s0w

Background: Nocturia is the need or the number of waking up at night to urinate, with each void preceded and followed by sleep. It is included in lower urinary tract symptoms and reported as the most bothersome and common. Nocturia causes long term sleep deprivation and lowers someone's quality of life. Thus, they need to know how to diagnose and treat nocturia, including time to refer to a specialist. This study aims to review the management and diagnosis of nocturia among Indonesian general practitioners.

Methods: This study used cross sectional design. The data was collected by distributing a self-made online survey with Google Forms about the overview of nocturia among general practitioners in Indonesia, taken from October 2021 to March 2022. Data were analyzed using SPSS version 20.0 for Windows.

Results: There were 252 participants in this study that filled in the questionnaire from October 2021 to March 2022. Most patients (57.8%) were between 50 and 65 years old. Different approaches for nocturia were made, with mainly chose education and lifestyle change (88.1%) and medication such as alpha blocker (19.8%) compared to desmopressin (13.5%). Only 65.5% of respondents referred their patients to urologists for further therapy.

Conclusion: General practitioners in Indonesia face difficulty in dealing with nocturia. It is better to refer these patients to a urologist or other related specialist after they perform the diagnostic examinations and standard therapy.

References

Hashim H, Blanker MH, Drake MJ, Djurhuus JC, Meijlink J, Morris V, et al. International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function. Neurourol Urodyn. 2019;38(2):499-508.
Leslie SW, Sajjad H, Singh S. Nocturia. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.
Rahardjo HE. The Management of Nocturia by Indonesian Urologist. eJournal Kedokteran Indonesia (eJKI). 2020;7(3):195-199.
Goessaert AS, Everaert K, Hoebeke P, Kapila A, Walle JV. Nocturnal enuresis and nocturia, differences and similarities—lessons to learn? Acta Clinica Belgica. 2015;70(2):81-86.
van Kerrebroeck P, Abrams P, Chaikin D, Donovan J, Fonda D, Jackson S, et al. The standardization of terminology in nocturia: Report from the Standardisation Sub-committee of the International Continence Society. BJU Int. 2002;21(2):11–15.
Zumrutbas AE, Bozkurt AI, Alkis O, Toktas C, Cetinel B, Aybek Z. The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex? Int Neurourol J. 2016;20(4):304-310.
Yow HY, Tiong JJL, Mai CW, van Der Werf E, Zainuddin ZM, Toh CC, et al. Prevalence of nocturia among community-dwelling adults: a population-based study in Malaysia. BMC Urol. 2021;21(1):1-13.
Oelke M, Fangmeyer B, Zinke J, Witt JH. Nocturia in men with benign prostatic hyperplasia. Aktuelle Urol. 2018;49(4):319-327.
Kim JW, Moon YT, Kim KD. Nocturia: The circadian voiding disorder. Investig Clin Urol. 2016;57(3):165-173.
Everaert K, Hervé F, Bosch R, Dmochowski R, Drake M, Hashim H, et al. International Continence Society consensus on the diagnosis and treatment of nocturia. Neurourol Urodyn. 2019;38(2):478-498.
Gravas S, Gacci M, Gratzke C, Herrmann TRW, Karavitakis M, Kyriazis I, et al. Summary Paper on the 2023 European Association of Urology Guidelines on the Management of Non-neurogenic Male Lower Urinary Tract Symptoms. Eur Urol. 2023;S0302-2838(23)02731-8.
Herawati S, Kandarini Y, Prabawa IPY. The Correlation between Estimated Glomerular Filtration Rate and Parathyroid Hormone Levels in Predialysis-chronic Kidney Disease Adult Patients at Sanglah General Hospital, Bali, Indonesia. Open Access Macedonian Journal of Medical Sciences. 2021;9(B): 470-474.
Hayati Z, Jamil KF, Azhari A, Mahdani W, Karmil TF, Yossadania A, et al. The outcome of urinary tract infection caused by Extended Spectrum Beta-Lactamase (ESBL) producing Escherichia coli and Klebsiella pneumoniae in Dr. Zainoel Abidin General Hospital Aceh. Bali Medical Journal. 2021;10(2):544–548.
Tafwid MI, Pratama ARH. Association between patient with muscle-invasive bladder cancer with the incidence of urinary tract infection in Karawang Regional Hospital: a single center study. Bali Medical Journal. 2022;11(3):1494–1497.
Barakat B, Franke K, May M, Gauger U, Vögeli TA. Efficacy and safety of desmopressin on frequency and urgency in female patients with overactive bladder and nocturia, current clinical features and outcomes: A systematic review. Asian Journal of Urology. 2022;9(1):27-34.
Suhartono R, Mochtar CA, Alwi I, Lydia A, Kekalih A, et al. Patency rate difference of the arteriovenous fistula with and without pre-anastomosis balloon dilatation in chronic kidney disease patients. Bali Medical Journal. 2022;11(3): 1259–1261.

[1] Hashim H, Blanker MH, Drake MJ, Djurhuus JC, Meijlink J, Morris V, et al. International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function. Neurourol Urodyn. 2019;38(2):499-508.

[2] Leslie SW, Sajjad H, Singh S. Nocturia. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2021.

[3] Rahardjo HE. The Management of Nocturia by Indonesian Urologist. eJournal Kedokteran Indonesia (eJKI). 2020;7(3):195-199.

[4] Goessaert AS, Everaert K, Hoebeke P, Kapila A, Walle JV. Nocturnal enuresis and nocturia, differences and similarities—lessons to learn? Acta Clinica Belgica. 2015;70(2):81-86.

[5] van Kerrebroeck P, Abrams P, Chaikin D, Donovan J, Fonda D, Jackson S, et al. The standardization of terminology in nocturia: Report from the Standardisation Sub-committee of the International Continence Society. BJU Int. 2002;21(2):11–15.

[6] Zumrutbas AE, Bozkurt AI, Alkis O, Toktas C, Cetinel B, Aybek Z. The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex? Int Neurourol J. 2016;20(4):304-310.

[7] Yow HY, Tiong JJL, Mai CW, van Der Werf E, Zainuddin ZM, Toh CC, et al. Prevalence of nocturia among community-dwelling adults: a population-based study in Malaysia. BMC Urol. 2021;21(1):1-13.

[8] Oelke M, Fangmeyer B, Zinke J, Witt JH. Nocturia in men with benign prostatic hyperplasia. Aktuelle Urol. 2018;49(4):319-327.

[9] Kim JW, Moon YT, Kim KD. Nocturia: The circadian voiding disorder. Investig Clin Urol. 2016;57(3):165-173.

[10] Everaert K, Hervé F, Bosch R, Dmochowski R, Drake M, Hashim H, et al. International Continence Society consensus on the diagnosis and treatment of nocturia. Neurourol Urodyn. 2019;38(2):478-498.

[11] Gravas S, Gacci M, Gratzke C, Herrmann TRW, Karavitakis M, Kyriazis I, et al. Summary Paper on the 2023 European Association of Urology Guidelines on the Management of Non-neurogenic Male Lower Urinary Tract Symptoms. Eur Urol. 2023;S0302-2838(23)02731-8.

[12] Herawati S, Kandarini Y, Prabawa IPY. The Correlation between Estimated Glomerular Filtration Rate and Parathyroid Hormone Levels in Predialysis-chronic Kidney Disease Adult Patients at Sanglah General Hospital, Bali, Indonesia. Open Access Macedonian Journal of Medical Sciences. 2021;9(B): 470-474.

[13] Hayati Z, Jamil KF, Azhari A, Mahdani W, Karmil TF, Yossadania A, et al. The outcome of urinary tract infection caused by Extended Spectrum Beta-Lactamase (ESBL) producing Escherichia coli and Klebsiella pneumoniae in Dr. Zainoel Abidin General Hospital Aceh. Bali Medical Journal. 2021;10(2):544–548.

[14] Tafwid MI, Pratama ARH. Association between patient with muscle-invasive bladder cancer with the incidence of urinary tract infection in Karawang Regional Hospital: a single center study. Bali Medical Journal. 2022;11(3):1494–1497.

[15] Barakat B, Franke K, May M, Gauger U, Vögeli TA. Efficacy and safety of desmopressin on frequency and urgency in female patients with overactive bladder and nocturia, current clinical features and outcomes: A systematic review. Asian Journal of Urology. 2022;9(1):27-34.

[16] Suhartono R, Mochtar CA, Alwi I, Lydia A, Kekalih A, et al. Patency rate difference of the arteriovenous fistula with and without pre-anastomosis balloon dilatation in chronic kidney disease patients. Bali Medical Journal. 2022;11(3): 1259–1261.

Nocturia Overview: a survey from General Practitioners in Indonesia

Abstract

References

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