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The principal diagnostic tool for nocturia is the voiding bladder diary. Based on information recorded in the diary, a physician can classify the patient as having global polyuria, nocturnal polyuria, or bladder storage problems. A voiding bladder diary should record: [citation needed] number of voids; timing of voids; volume voided
Bladder training is based on the principle that the bladder can be conditioned to hold larger volumes of urine and reduce involuntary contractions. It requires active participation from individuals, making it most suitable for those who are physically and cognitively capable of adhering to scheduled voiding regimens.
Hesitancy [8] (worsened if bladder is very full) [9] Terminal dribbling [8] Incomplete voiding [8] Urinary retention [10] Overflow incontinence (occurs in chronic retention) [10] Episodes of near retention [10] As the symptoms are common and non-specific, LUTS is not necessarily a reason to suspect prostate cancer. [7]
Analysis of urine flow may aid in establishing the type of micturition (urination) abnormality. Common findings, determined by ultrasound of the bladder, include a slow rate of flow, intermittent flow, and a large amount of urine retained in the bladder after urination. A normal test result should be 20–25 ml/s peak flow rate. A post-void ...
Nocturnal enuresis usually presents with voiding of urine during sleep in a child for whom it is difficult to wake. [7] [8] It may be accompanied by bladder dysfunction during the day which is termed non-mono symptomatic enuresis. [9] Day time enuresis, also known as urinary incontinence, may also be accompanied by bladder dysfunction.
A voiding diary in the form of a frequency volume chart records voided volume along with the time of each micturition for at least 24 hours. The frequency volume chart is enough for patients with complaints of nocturia and frequency only. If other symptoms are also present then a detailed bladder diary must be maintained.
Bladder training is a technique that encourages people to modify their voiding habits (lengthening the time between voiding). Weak evidence suggests that bladder training may be helpful for the treatment of urinary incontinence. [ 12 ]
The Credé maneuver is a technique used to void urine from the bladder of an individual who, due to disease, cannot do so without aid. The Credé maneuver is executed by exerting manual pressure on the abdomen at the location of the bladder, just below the navel. [1] Patients can learn to perform the maneuver on themselves as it is simple to do.
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