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

被引：4

作者：

Di Bello, Francesco ^{[1
]}

Pezone, Gabriele ^{[1
]}

Muzii, Benedetta ^{[1
]}

Cilio, Simone ^{[1
,6
]}

Ruvolo, Claudia Colla ^{[1
]}

Scandurra, Cristiano ^{[1
]}

Mocini, Edoardo ^{[2
]}

Creta, Massimiliano ^{[1
]}

Morra, Simone ^{[1
]}

Bochicchio, Vincenzo ^{[3
]}

Salzano, Giovanni ^{[4
]}

Vaira, Luigi Angelo ^{[5
]}

Mangiapia, Francesco ^{[1
]}

Motta, Gaetano ^{[1
]}

Maldonato, Nelson Mauro ^{[1
]}

Longo, Nicola ^{[1
]}

Cantone, Elena ^{[1
]}

Califano, Gianluigi ^{[1
]}

机构：

[1] Univ Naples Federico II, Dept Neurosci Reprod Sci & Odontostomatol, Urol Unit, Naples, Italy

[2] Sapienza Univ Rome, Dept Expt Med, Rome, Italy

[3] Univ Calabria, Dept Humanist Studies, Arcavacata Di Rende, Italy

[4] Univ Hosp Naples Federico II, Dept Neurosci Reprod & Odontostomatol Sci, Maxillofacial Surg Operat Unit, Naples, Italy

[5] Univ Sassari, Dept Med Surg & Pharm, Maxillofacial Surg Operat Unit, Sassari, Italy

[6] Univ Naples Federico II, Dept Neurosci, Urol Unit, Via Sergio Pansini 5, I-80131 Naples, Italy

来源：

NEUROUROLOGY AND URODYNAMICS | 2024年 / 43卷 / 01期

关键词：

LUTS; male; nocturia; sleep apnea; sleep impairment; OVERACTIVE BLADDER; NOCTURIA; DYSFUNCTION; OSAS;

D O I：

10.1002/nau.25338

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：144 / 152

页数：9

共 30 条

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