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Doody's Review ServiceReviewer: Alana M Murphy, MD (Thomas Jefferson University)
Description: This is a comprehensive overview of nocturia, a diagnosis that often frustrates and intimidates urologists. Contributions are provided by specialists in urology, geriatrics, and sleep disorders, and editorial oversight is provided by recognized experts in voiding dysfunction.
Purpose: The editors have compiled chapters that characterize nocturia, review its clinical work-up, and outline its consequences. They also provide an exhaustive review of the potential contributing factors and finish with an overview of treatment strategies.
Audience: The book is most suitable for urologists who encounter a significant number of patients with nocturia in their daily practice. Although patients with nocturia are certainly seen by other specialists, such as geriatricians or sleep disorder specialists, this book's degree of detail and lack of concise algorithms make it unsuitable as a quick reference.
Features: The introductory chapter is the most comprehensive and concise, providing definitions of terms relevant to the diagnosis of nocturia, classification of nocturia into subtypes based on etiology, evaluation of nocturia, consequences of nocturia, and a brief overview of therapy. Chapters two through six explore the epidemiology, potential etiologies, and consequences of nocturia. Chapter 10 addresses the same aspects of nocturia as they relate specifically to elderly patients. Chapters 7, 8, 9, and 11 detail potential therapies for nocturia and the available data to support these treatment strategies. Several chapters include summary points, but the index provides a quick reference to help answer targeted questions.
Assessment: Urologists specializing in lower urinary tract dysfunction who frequently encounter patients with nocturia should read this book as a helpful foundation. Although slightly redundant, the book provides a thorough understanding of the clinical aspects of nocturia, potential etiologies, proper evaluation, and treatment strategies. If the book lacks anything, it is clear recommendations regarding treatment strategies and an in-depth discussion of potential pitfalls of specific therapies. The book succeeds in acknowledging the shortcomings related to the currently available literature on nocturia and provides suggestions for future research in the last chapter. Overall, this is a great resource for practitioners struggling with this challenging diagnosis on a regular basis.