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AUA 2017

AUA 2017: Shift Workers with Shift Work Sleep Disorder Have Increased Lower Urinary Tract Symptoms

Boston, MA (UroToday.com) Dr. John Sigalos from the Baylor College of Medicine explored the relative risk between shift work sleep disorder (SWSD) and lower urinary tract symptoms (LUTS). As an introduction to his presentation, Dr. Sigalos stated that shift work sleep disorder is a circadian rhythm disorder that is found in 10% of all shift workers. Shift workers who work abnormal hours have an increased risk of LUTS relative to daytime workers who work normal hours. Sigalos and team compared lower urinary tract symptoms in shift workers with and without shift work sleep disorder both with each other and with day time shift workers in order to examine the association between SWSD and LUTS in shift workers.

They collected surveys from 2487 men who completed the IPSS, the CCI (charlson comorbidity index), and shift work questionnaires. Of these men, 766 were shift workers and 282 were found to have shift work sleep disorder. The remaining were 1721 were daytime workers. When they were able to control for age, comorbidities, and testosterone levels, shift workers were not at an increased risk for LUTS. However, shift workers with SWSD had significantly higher IPSS scores than shift workers without SWSD.

They concluded that shift workers with shift work sleep disorder were found to have worse LUTS than those without the circadian rhythm disorder. Poor sleep habits rather than shift work may contribute to these worse symptoms. Lastly, Dr. Sigalos stated that modification of work and sleep schedules may reduce the risk for SWSD and subsequent LUTS

Dr. John Sigalos from the Baylor College of Medicine

Authors: John Sigalos, Javier Santiago, Edgar Kirby, Mark Hockenberry, Taylor Kohn, Stephen Pickett, Alexander Pastuszak, Larry Lipshultz

Written By: Renai Yoon, Department of Urology, University of California-Irvine, medical writer for UroToday.com.

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA