The Management of Nocturia by Indonesian Urologist
| Main Author: | Harrina Erlianti Rahardjo; Universitas Indonesia |
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| Format: | Article application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Faculty of Medicine Universitas Indonesia
, 2020
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| Subjects: | |
| Online Access: |
http://journal.ui.ac.id/index.php/eJKI/article/view/11352 |
Daftar Isi:
- Nocturia is defined as the number of times urine is passed during main sleep. Prevalence of nocturia is around 70% and 11-44% for age group 70-80 and 20-40 years respectively. Although, it is clearly prevalent, nocturia is just seen as a small part of lower urinary tract symptoms (LUTS). The objective of the study was to review nocturia in terms of diagnostic and management strategies among Indonesian urologists. This was a descriptive cross-sectional study. A self-constructed questionnaire was distributed to Indonesian urologists from August 2017 until August 2018 using consecutive sampling method. 124 urologists out of 400 urologists participated. in this study most of the urologists had to face 1-5 cases nocturia per month. Age of patients were mostly 50-65 years old and affecting more men than women (66.9% vs 16.9% respectively). Only 45% of urologists utilized bladder diary regularly to assess nocturia. Nearly 90% urologist opted for lifestyle intervention to manage nocturia. Desmopressin was used by only 20.2% urologists to treat nocturia. Anti-muscarinic and beta-3 agonist were used more often than desmopressin to treat nocturia. To conclude, diagnostic strategies for nocturia are mostly in line with available guidelines except for bladder diary which was only used routinely by 45% of urologists. As for treatment, desmopressin was still prescribed less frequently than OAB drugs for nocturia. Keywords: nocturia, urology, LUTS, desmopressin, functional. Manajemen Nokturia oleh Urolog di Indonesia Abstrak Nokturia didefinisikan sebagai jumlah berkemih selama waktu tidur. Prevalensi nokturia sekitar 70% dan 11-44% pada kelompok umur 70-80 dan 20-40 tahun. Walaupun nokturia memiliki prevalensi tinggi, diagnosis tersebut hanya dianggap sebagai bagian kecil gejala lower urinary tract (LUT). Tujuan penelitian ini adalah mengetahui strategi diagnostik dan terapi nokturia oleh dokter spesialis urologi di Indonesia. .Studi deskriptif pontong lintang ini menggunakan metode consecutive sampling dan kuesioner yang dibagikan pada dokter spesialis urologi pada bulan Agustus 2017–Agustus 2018. Sebanyak 124 dari 400 spesialis urologi berpartisipasi dalam studi ini. Mayoritas spesialis urologi mendapat 1-5 kasus per bulan. Usia pasien tersering adalah 50-65 tahun dan lebih banyak laki-laki. (66.9% vs 16.9% respectively). Hanya 45% spesialis urologi menggunakan catatan harian berkemih untuk diagnosis nokturia. Kurang lebih 90% responden memilih intervensi gaya hidup sebagai tata laksana. Desmopressin hanya digunakan 20,2% responden untuk mengobati nokturia. Anti-muskarinik dan beta-3-agonis lebih sering digunakan dibandingkan desmopressin untuk tata laksana nokturia. Disimpulkan strategi diagnostik untuk nokturia telah sesuai dengan panduan tatalaksana kecuali untuk catatan harian berkemih. Dalam hal terapi nokturia, desmopressin masih lebih jarang digunakan dibandingkan dengan obat untuk overactive bladder. Kata kunci: nokturia, urologi, LUTS, desmopresin, fungsional.