The discrepancy between European Association of Urology (EAU) guidelines and daily practice in the evaluation and management of nocturia: results of a Dutch survey
Background and objective
In addition to the evaluation of voiding symptoms, in the evaluation of patients with nocturia, one should also consider other related causes such as sleep disorders, obstructive sleep apnoea (OSAS), diabetes and heart failure. In this study, we have aimed to assess the current knowledge and implementation of the EAU guidelines regarding nocturia in common urological practice in the Netherlands.
Setting and participants
In a national cross-sectional survey distributed among 450 urologists and urology residents in the Netherlands, the implementation of the recommendations of the European Association of Urology (EAU) guidelines on nocturia evaluation and management was studied.
Results and limitations
This survey revealed that only some aspects of the EAU guidelines are applied in the daily clinical practice and that some important parts are not. For example, only a minority asks about alcohol consumption and symptoms suggestive for diabetes or OSAS. In addition, a majority reported to use a bladder diary for 1–3 days instead of for a minimum of 3 days as recommended by the EAU guidelines. In the management of nocturia, a trial of timed diuretic therapy is only reported by a minority, whereas the use of beta-3 antagonists, which is not mentioned in the guidelines, is applied by a large majority. Desmopressin recommended for nocturnal polyuria is prescribed by two-third of Dutch urologists.
These observations mandate better education and campaigns to raise the awareness on the EAU-guideline recommendations for nocturia.
KeywordsNocturia Guidelines EAU Nocturnal polyuria
MSR: protocol/project development; data collection or management; data analysis manuscript writing/editing. DMJV: data collection or management; data analysis manuscript writing/editing. SH: data analysis manuscript writing/editing. GAK: data analysis manuscript writing/editing. TATM: protocol/project development; data collection or management; data analysis manuscript writing/editing.
Compliance with ethical standards
Conflict of interest
- 8.Oelke M, Weiss JP, Mamoulakis C et al (2014) Effects of tadalafil on nighttime voiding (nocturia) in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia: a post hoc analysis of pooled data from four randomized, placebo-controlled clinical studies. World J Urol 32:1127CrossRefGoogle Scholar