Sleep Quality Improvement of Benign Prostate Hyperplasia Patients After Transuretral Resection of Prostate

Abstract

ABSTRACT
 Introduction. Nocturia is lower urinary tract symptoms on benign prostat hyperplasia patients that made him asleep at night to urinate. This condition impacted on many level of patient life, which are quality of life, quality of sleep, daytime function, morbidity and mortality and nocturia has the biggest impact on patient sleep quality.
 Methods. This is an observational study including 30 patient of benign prostat hyperplasia undergoing transurethral resection of the prostate as research subjects. All patient were assessed using the Pittsburgh sleep quality index and international prostate symptom score at baseline and 2 month after transuretral resection of the prostate
 Results. A total 23 patients (76,7%) had a sleep disorder as a score of 5 or more on Pittsburgh sleep quality index score. After the transurethral resection of the prostate, pittsburgh sleep quality index score of 12 patient have decreased (less than 5) and 11 others with persistent sleep disorder. Pittsburgh sleep quality index significantly decreased after transurethral resection of the prostate from ±9,36 to ±5,03 (p-value 0,000). Nocturia also significantly decreased after transuretral resection of the prostate from ±3,46 to ±2,40 (P value 0,003). Lower urinary track symptoms in this patient also getting better after surgery. The international prostat symtoms score decreased after transurethral resection of the prostat from ±21,80 to ±7,67 with P value 0,000
 Conclusion. Transuretral resection of prostate improves sleep quality dan decreased lower urinary track symptoms in benign prostate hypertrophy patients.

Difficulties experienced by patients with benign prostatic hyperplasia regarding their physical symptoms

“…There is also evidence that insomnia increases the risk of depression, cardiovascular diseases, and diabetes mellitus 29,30 . Literature supports our study findings that low sleep quality hurts daily life and reduces the quality of life 28,31,32 …”

“…Our study findings indicate that patients experience a decrease in sleep quality due to an increase in urination frequency, sudden urgency to urinate, and interrupted sleep due to nocturia. Unrestful sleep and insomnia can cause daytime sleepiness, decreased productivity, mood changes, cognitive impairment, and increased risk of accidental falls in the elderly 10,28 . There is also evidence that insomnia increases the risk of depression, cardiovascular diseases, and diabetes mellitus 29,30 .…”

“…Unrestful sleep and insomnia can cause daytime sleepiness, decreased productivity, mood changes, cognitive impairment, and increased risk of accidental falls in the elderly. 10,28 There is also evidence that insomnia increases the risk of depression, cardiovascular diseases, and diabetes mellitus. 29,30 Literature supports our study findings that low sleep quality hurts daily life and reduces the quality of life.…”

“…29,30 Literature supports our study findings that low sleep quality hurts daily life and reduces the quality of life. 28,31,32 The symptoms associated with BPH can disrupt patients' sexual, psychological, and social well-being, ultimately leading to negative consequences for the patients. 20 In this study conducted, patients reported experiencing problems in their sexual lives and a decrease in their self-confidence due to BPH symptoms, which is consistent with the literature.…”