Before starting treatment for nocturnal enuresis in adults, a complete urological diagnosis process is essential. Misdiagnosis leads to ineffective treatments and further distress for the patient. Within this scope, modern andrology and urology protocols are implemented during the diagnosis and testing of nocturnal enuresis in adults.
1. Detailed History and Voiding Diary
The number of days the patient experiences incontinence, evening fluid intake, and urination frequency are questioned in detail. The patient is asked to keep a Voiding Diary for at least 3 days, recording fluid intake and urination times. This diary is one of the most valuable tools for detecting nocturnal polyuria (excessive nighttime urine production).
2. Laboratory and Imaging Tests
Urinalysis, urine culture, and blood sugar measurements are performed to rule out hidden infections and diabetes. Ultrasonography is used to examine the kidneys and bladder, and to measure the post-void residual urine volume.
3. Urodynamics and Voiding Tests
Urodynamics (bladder pressure measurement test) and Uroflowmetry (urine flow rate test) are performed to understand how the bladder muscles behave during sleep and to measure voiding pressures. These tests confirm bladder capacity and the presence of an overactive bladder.