“Nocturia and obstructive sleep apnea syndrome: A systematic review”

Bello, Francesco Di; Napolitano, Luigi; Ruvolo, Claudia Collà; Morra, Simone; Califano, Gianluigi; Capece, Marco; Creta, Massimiliano; Scandurra, Cristiano; Muzii, Benedetta; Nola, Claudio Di; Bochicchio, Vincenzo; Nocini, Riccardo; Abbate, Vincenzo; Maldonato, Nelson Mauro; Orabona, Giovanni Dell’Aversana; Longo, Nicola; Cantone, Elena

doi:10.1016/j.smrv.2023.101787

Cited by 19 publications

(19 citation statements)

References 53 publications

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“…There is a growing interest in exploring the relationship between OSAS and urological disorders, as the pathogenesis of these conditions intersects and contributes to the severity of symptoms. 1,6,20 Previous studies have investigated the prevalence and severity of nocturia in males with OSAS, but none of them have examined the potential use of the IPSS questionnaire as a predictor of OSAS. 8,9,21 Additionally, the high participation rate in our survey allowed us to gain insights into the presence of urinary symptoms in young males.…”

Section: Discussionmentioning

confidence: 99%

“…Lower urinary tract symptoms (LUTS) are common and bothersome symptoms, increasing with age. 1 According to the European Association of Urology (EAU) guidelines, LUTS are classified into storage (hesitancy, weak stream, incomplete bladder emptying and straining), voiding (nocturia, frequency, and urgency), and postmicturition symptoms, affecting negatively the overall quality of life (QoL). 2 Specifically, nocturia is the most common symptoms experienced by patients with sleep disorder breathing, with a prevalence of 52% to 76.9% according to Oztura findings.…”

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confidence: 99%

“…4 OSAS is a common disease with a prevalence of 4%-5% among middle-aged men, and it increases with age. 1 The disease is strongly associated with an increased risk of hypertension, coronary artery disease, myocardial infarction, stroke, and even sudden death. 1,5,6 Currently, both OSAS and urological disorders, including LUTS, are increasing in parallel due to the higher median age of the general population.…”

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confidence: 99%

“…1 The disease is strongly associated with an increased risk of hypertension, coronary artery disease, myocardial infarction, stroke, and even sudden death. 1,5,6 Currently, both OSAS and urological disorders, including LUTS, are increasing in parallel due to the higher median age of the general population. [7][8][9] Consequently, they represent a looming problem in public health with potential costs and management burdens.…”

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confidence: 99%

“…[7][8][9] Consequently, they represent a looming problem in public health with potential costs and management burdens. 1,5 Specifically, the impairment of sleep behavior due to OSAS and/or LUTS may negatively affect the mental balance of patients, leading to an increased psychological burden 10,11 and worsened compliance with therapy. 12 Several studies have shown that patients with OSAS often exhibit nocturia, and vice versa.…”

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confidence: 99%

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

Di Bello,

Pezone,

Muzii

et al. 2023

Neurourology and Urodynamics

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BackgroundThe 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).MethodsA 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.ResultsOverall, 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.ConclusionThis 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.

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