Apart from nocturia, few reports have been published on the relationship between lower urinary tract symptoms (LUTS) and sleep disturbances in patients visiting urology outpatient clinics. This study assessed the association between our population's LUTS and sleep disturbances.
This was a prospective observational study. A total of 123 male patients with a history of LUTS aged more than 40 years were recruited from urology outpatient clinic. International Prostate Symptom Score was utilized to assess LUTS. To determine the quality of sleep, the Pittsburgh Sleep Quality Index (PSQI) was used. Berlin questionnaire (BQ) was used for screening obstructive sleep apnea.
A total of 123 participants were enrolled in this study. The mean age of the participants was 61 ± 11.1 years. Nocturia >3 episodes were significantly more in patients with PSQI >5 (P < 0.05). There was a greater prevalence of severe LUTS in patients with PSQI >5 (P < 0.05). The association between LUTS and BQ score showed an increased prevalence of severe symptoms in patients with high BQ. Patients with PSQI >5 had more severe LUTS (53% of patients) compared to patients with PSQI ≤5 (5% of patients) (P = 0.000). Patients with PSQI >5 had overall poorer quality of life (QOL) scores, with QOL being 5 and 6 in 18% and 4.8% of the patients, respectively.
There is a significant association between the prevalence of nocturia, moderate-to-severe LUTS, and the existence of sleep disorders. Therefore, screening for sleep disturbances may be performed on male patients who present with LUTS.
Indian journal of urology : IJU : journal of the Urological Society of India. 2023 Dec 29 [Epub]
Ankur Mittal, Gurpremjit Singh, Rudra Prasad Ghorai, Vikas Kumar Panwar, Gaurav Saurabh Sharma, Ravi Gupta
Department of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India., Department of Urology, Medanta The Medicity, Gurugram, India., Department of Urology, All India Institute of Medical Sciences, Delhi, India., Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India., Department of Psychiatry and Sleep Clinic, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.