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[Is nocturnal polyuria more frequent among patients with Parkinson's disease?].
Prog Urol. 2015 May; 25(6):312-7.PU

Abstract

OBJECTIVE

Nocturia is a frequent complaint in the population of idiopathic Parkinson's disease patients (IPD). The consequences of nocturia in the IPD population are at high importance as these patients have motor problems and therefore a risk of nocturnal fall. The aim of the study was to determine the mechanism of nocturia in patients with MPI, by determining the prevalence of nocturnal polyuria (NP) in this population.

METHOD

A prospective study by bladder diary was conducted on 70 consecutive IPD patients consulting for regular neurological follow-up at a non-severe stage. Nocturia was defined as 1 or more awakenings to urinate. Two definitions of NP were used: nocturnal diuresis 33% or higher of the total diuresis (NUV33), which is the ICS (International Continence Society) definition, and nocturnal diuresis 90 mL/h or higher (NUP90).

RESULTS

The mean patient age was 71 years (45-86, sex ratio 33/30). On average, patients were diagnosed for IPD 6.76 years earlier. The prevalence of NP was 64.5% according to NUV33 definition, and 17.7% according to NUP90 definition. Among patients with nocturia, the prevalence of NP was 66% (NUV33) and 21.5% (NUP90). No association was observed between disease duration of the IPD and the prevalence of nocturia and NP. Patients 70 years and older were more likely to have NP as defined by NUV33 than those less than 70 years (72.7% versus 55.17%, P=0.015). Men had more frequently nocturia (33.3% versus 20.7%, P=0.027).

CONCLUSIONS

The prevalence of NP and nocturia was analyzed in patients with IPD at a non-severe stage. This prevalence was not higher than in the general population of the same age. The mechanism of nocturia in patients with IPD is not unambiguous and therefore requires to be explored by a bladder diary.

Authors+Show Affiliations

Service de chirurgie urologique, CHU de Limoges, faculté de médecine, université de Limoges, 87042 Limoges, France. Electronic address: julie.romain1@voila.fr.Service de neurologie, CHU de Limoges, faculté de médecine, université de Limoges, 87042 Limoges, France.Service de chirurgie urologique, CHU de Limoges, faculté de médecine, université de Limoges, 87042 Limoges, France.Service de chirurgie urologique, CHU de Toulouse, faculté de médecine, université de Toulouse, 31000 Toulouse, France.Service de chirurgie urologique, CHU de Limoges, faculté de médecine, université de Limoges, 87042 Limoges, France.

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

25843636

Citation

Romain, J, et al. "[Is Nocturnal Polyuria More Frequent Among Patients With Parkinson's Disease?]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 25, no. 6, 2015, pp. 312-7.
Romain J, Torny F, Dumas JP, et al. [Is nocturnal polyuria more frequent among patients with Parkinson's disease?]. Prog Urol. 2015;25(6):312-7.
Romain, J., Torny, F., Dumas, J. P., Gamé, X., & Descazeaud, A. (2015). [Is nocturnal polyuria more frequent among patients with Parkinson's disease?]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 25(6), 312-7. https://doi.org/10.1016/j.purol.2015.02.004
Romain J, et al. [Is Nocturnal Polyuria More Frequent Among Patients With Parkinson's Disease?]. Prog Urol. 2015;25(6):312-7. PubMed PMID: 25843636.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Is nocturnal polyuria more frequent among patients with Parkinson's disease?]. AU - Romain,J, AU - Torny,F, AU - Dumas,J-P, AU - Gamé,X, AU - Descazeaud,A, Y1 - 2015/04/03/ PY - 2014/08/27/received PY - 2015/02/10/revised PY - 2015/02/17/accepted PY - 2015/4/7/entrez PY - 2015/4/7/pubmed PY - 2016/5/6/medline KW - Idiopathic Parkinson's disease KW - LUTS KW - Maladie de Parkinson idiopathique KW - Nocturia KW - Nocturnal polyuria KW - Nycturie KW - Polyurie nocturne KW - Symptômes du bas appareil urinaire SP - 312 EP - 7 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog. Urol. VL - 25 IS - 6 N2 - OBJECTIVE: Nocturia is a frequent complaint in the population of idiopathic Parkinson's disease patients (IPD). The consequences of nocturia in the IPD population are at high importance as these patients have motor problems and therefore a risk of nocturnal fall. The aim of the study was to determine the mechanism of nocturia in patients with MPI, by determining the prevalence of nocturnal polyuria (NP) in this population. METHOD: A prospective study by bladder diary was conducted on 70 consecutive IPD patients consulting for regular neurological follow-up at a non-severe stage. Nocturia was defined as 1 or more awakenings to urinate. Two definitions of NP were used: nocturnal diuresis 33% or higher of the total diuresis (NUV33), which is the ICS (International Continence Society) definition, and nocturnal diuresis 90 mL/h or higher (NUP90). RESULTS: The mean patient age was 71 years (45-86, sex ratio 33/30). On average, patients were diagnosed for IPD 6.76 years earlier. The prevalence of NP was 64.5% according to NUV33 definition, and 17.7% according to NUP90 definition. Among patients with nocturia, the prevalence of NP was 66% (NUV33) and 21.5% (NUP90). No association was observed between disease duration of the IPD and the prevalence of nocturia and NP. Patients 70 years and older were more likely to have NP as defined by NUV33 than those less than 70 years (72.7% versus 55.17%, P=0.015). Men had more frequently nocturia (33.3% versus 20.7%, P=0.027). CONCLUSIONS: The prevalence of NP and nocturia was analyzed in patients with IPD at a non-severe stage. This prevalence was not higher than in the general population of the same age. The mechanism of nocturia in patients with IPD is not unambiguous and therefore requires to be explored by a bladder diary. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/25843636/[Is_nocturnal_polyuria_more_frequent_among_patients_with_Parkinson's_disease]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(15)00077-9 DB - PRIME DP - Unbound Medicine ER -