A 52-year-old man complains of minor urgency and frequency during the day and nocturia × 3-5. His DRE reveals a 30-g benign prostate. He is started on tamsulosin, and his daytime symptoms resolve entirely; however, he still has nocturia × 2-4. He is counseled on lifestyle modifications and to decrease fluid consumption including caffeine but has no improvement in nocturia. Cystoscopy is normal with no evident visual obstruction. A urinalysis is normal. The PVR is 40 ml. He has a normal-sized neck and does not snore. He has no trouble sleeping and awakens because of the urge to void. This is very bothersome.
Current urology reports. 2016 Oct [Epub]
Mark S Soloway, Jeffrey P Weiss, Alan J Wein
Memorial Healthcare System, Aventura, FL, USA. ., Department of Urology, SUNY Downstate College of Medicine, New York, NY, USA., Division of Urology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.