Therapy for nocturia (nocturnal urination) depends on the cause: for example, optimizing medication for heart failure (cardiac insufficiency).
General measures
- Low amounts of fluids in the evening (including alcohol restriction/avoidance) reduce nighttime urine production
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
- Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea).
- Improve sleep quality – move regularly during the day, but avoid intense sports from 18.00 clock.
- Evening elevation of the legs – this supports fluid redistribution in the central body circulation and diuresis (urination) before bedtime.
- An appropriately warm sleeping environment through a seasonally appropriate comforter and bedroom temperature 17 °C – this mitigates peripheral vasoconstriction (vasoconstriction) with increased fluid redistribution in the central body circulation and diuresis during sleep
- Nocturia due to overactive bladder (OAB):
- Micturition training (tensing pelvic floor when urination occurs).
- Toilet training (adaptation emptying rhythm).
- Vaginal fractionated laser therapy (vulvovaginal laser therapy) (see below).
- Review of permanent medication due topossible effect on the existing disease.
Conventional non-surgical therapy methods
- Vaginal fractionated laser therapy (vulvovaginal laser therapy) – innovative, minimally invasive, non-surgical and non-hormonal procedure for the treatment of vulvovaginal dysfunctions, mostly recurrent, difficult to treat, especially concerning sexuality and diseases in the intimate area. Predominantly women in premenopausal/menopausal or other estrogen deficiency situations suffer from it. Mild forms of urinary incontinence (bladder weakness) and chronic recurrent cystitis (recurrent bladder infections) and descensus (descensus) symptoms may also improve. If the above-mentioned micturition and toilet training, as well as medicinal forms of therapy, fail, laser therapy is often a salvation, since it often leads to a significant reduction of symptoms after the first therapy in all forms of urge symptomatology (OAB), but especially in nocturia. Particularly noteworthy are also the excellent results in the treatment of lichen sclerosus, which usually make cortisone therapy unnecessary.Impressive is the minimal side effect rate and the absence of complications with this method, as well as the possibility of application after chemotherapy or radiation therapy. However, evaluation by controlled studies is still lacking. For details see chapter: ” Laser therapy for bladder problems in women“, “Vulvovaginal laser therapy”, ” Laser therapy for lichen sclerosus“.
Sports Medicine
- Endurance training (cardio training).
- Suitable endurance sports are running, swimming, cycling or inline skating.
- The incidence of nocturia in men decreases with regular physical activity. Even in men without benign prostatic hyperplasia (BPH; benign prostatic enlargement), the rate of nocturia decreased by 18% and severe nocturia by 39%.
- Establishment of a fitness plan with appropriate sports disciplines based on a medical check (health check).
- Detailed information on sports medicine you will receive from us.