Soloway Mark S, Weiss Jeffrey P, Wein Alan J
Memorial Healthcare System, Aventura, FL, USA.
Department of Urology, SUNY Downstate College of Medicine, New York, NY, USA.
Curr Urol Rep. 2016 Oct;17(10):77. doi: 10.1007/s11934-016-0632-0.
A 52-year-old man complains of minor urgency and frequency during the day and nocturia × 3-5. His DRE reveals a 30-g benign prostate. He is started on tamsulosin, and his daytime symptoms resolve entirely; however, he still has nocturia × 2-4. He is counseled on lifestyle modifications and to decrease fluid consumption including caffeine but has no improvement in nocturia. Cystoscopy is normal with no evident visual obstruction. A urinalysis is normal. The PVR is 40 ml. He has a normal-sized neck and does not snore. He has no trouble sleeping and awakens because of the urge to void. This is very bothersome.
一名52岁男性主诉白天有轻微尿急、尿频，夜尿3 - 5次。直肠指检显示前列腺良性，重30克。开始使用坦索罗辛治疗，其白天症状完全缓解；然而，他仍有夜尿2 - 4次。建议他改变生活方式并减少液体摄入，包括咖啡因，但夜尿症状并无改善。膀胱镜检查正常，无明显视觉梗阻。尿常规正常。残余尿量为40毫升。他颈部尺寸正常，不打鼾。他睡眠无问题，因排尿冲动而醒来。这非常困扰他。
