Lower urinary tract symptoms in young-middle aged males with a diagnosis of obstructive sleep apnea syndrome

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BACKGROUND: The aim of the current study is to measure the prevalence and the potential role of International Prostate Symptom Score (IPSS) score as a predictor of obstructive sleep apnea syndrome (OSAS) in male experienced lower urinary tract symptoms (LUTS).

METHODS: A cross-sectional web-based Italian survey was administered via Google Forms between July 17 and October 31, 2022. The urinary functioning was measured through the IPSS questionnaire. Specifically, we considered symptoms occurring more than "about half the time" (score ≥ 3) as bothering symptoms. Multivariable logistic regression models (LRMs) adjusting for age, body mass index (BMI), International Index of Erectile Function-5, IPSS, and hypertension were fitted to predict OSAS in the cohort of men responding to the survey and experiencing LUTS.

RESULTS: Overall, 58 (24.4%) patients had a confirmed diagnosis of OSAS. The overall median IPSS was 5 (inter quartile range [IQR]: 3-8), respectively. According to IPSS items, 24 (10%), 44 (18.4%), 12 (5%), 12 (5%), 12 (5%), 11 (4.6%), 63 (26.4%) patients exhibit incomplete bladder emptying, urinary frequency, intermittency, urgency, weak stream, straining, nocturia with a score ≥ 3, respectively. After multivariable LRMs predicting the developing OSAS, age (odds ratio [OR]: 1.09, p < 0.001), BMI (OR:1.12, p < 0.001) and IPSS total score (OR:1.08, p = 0.02) were independent predicting factors.

CONCLUSION: This analysis revealed that the IPSS total score, age, and BMI are independent predictors of OSAS in males. In this context, the use of IPSS in daily practice could be helpful in assessing the LUTS presence and in supporting physicians to identify a hidden sleep apnea condition.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

2023

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Neurourology and urodynamics - 43(2023), 1 vom: 27. Jan., Seite 144-152

Sprache:

Englisch

Beteiligte Personen:

Di Bello, Francesco [VerfasserIn]
Pezone, Gabriele [VerfasserIn]
Muzii, Benedetta [VerfasserIn]
Cilio, Simone [VerfasserIn]
Ruvolo, Claudia Collà [VerfasserIn]
Scandurra, Cristiano [VerfasserIn]
Mocini, Edoardo [VerfasserIn]
Creta, Massimiliano [VerfasserIn]
Morra, Simone [VerfasserIn]
Bochicchio, Vincenzo [VerfasserIn]
Salzano, Giovanni [VerfasserIn]
Vaira, Luigi Angelo [VerfasserIn]
Mangiapia, Francesco [VerfasserIn]
Motta, Gaetano [VerfasserIn]
Maldonato, Nelson Mauro [VerfasserIn]
Longo, Nicola [VerfasserIn]
Cantone, Elena [VerfasserIn]
Califano, Gianluigi [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
LUTS
Male
Nocturia
Sleep apnea
Sleep impairment

Anmerkungen:

Date Completed 22.12.2023

Date Revised 22.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/nau.25338

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365020966