Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?

CEYLAN, Cavit; ODABAŞ, ÖNER; yığman, metin

Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?

Öner ODABAŞ, (Sağlık Bakanlığı, Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Cavit CEYLAN, (Sağlık Bakanlığı, Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Metin YIĞMAN (Sağlık Bakanlığı, Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2012 Cilt: 42 Sayı: 4 Sayfa Aralığı: 619 - 622 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?

Öz:

Amaç: Obstruktif uyku apnesi olan hastalarda alt üriner sistem semptomlarının sorgulanması ve apne tedavisi ile semptomlarda düzelmenin araştırılması. Yöntem ve gereç: Uyku apnesi yakınmasıyla uyku laboratuarında incelemeye alınan 145 erkek hastada alt üriner sistem semptomlarının sorgulanması için hastalara IPSS sorgulama formu dolduruldu. Bütün hastalara KBB muayeneleri yapıldı. Muayene bulgularına ve apne-hipopne indeksine (AHI) göre CPAP veya cerrahi tedavi önerildi. Takip edilebilen ve tedavi alan 23 hastaya IPSS formu tekrar doldurularak semptom skorlaması yinelendi. Bu hastaların yaşları 26 ile 65 arasında değişmekteydi. Tedavi öncesi ve sonrası skor farklılıklarının değerlendirilmesinde Wilcoxon signed ranks, Kruskal-Wallis, Spearman rho testleri kullanıldı. Bulgular: Uyku apnesi olan, tedavi ve takibi yapılabilen 23 hastanın IPSS’inde istatistiksel olarak anlamlı düzelme saptanmıştır (P < 0,001). Tedavi öncesi ve sonrasında IPSS değişimi ile AHİ, tedavi yöntemi, hasta yaşı ve vücut kitle indeksi arasında anlamlı bir ilişki saptanmamıştır (P > 0,05) Sonuç: Uyku apnesi yakınması olan hastaların çoğunda farkında olmaksızın alt üriner sistem semptomları mevcut olup, apne tedavisi ile bu semptomlarda belirgin düzelme olduğu saptanmıştır.

Anahtar Kelime: Vücut kitle indeksi Yaş faktörü Alt üriner sistem semtomları Uyku apne, tıkayıcı Formlar

Konular: Cerrahi

Obstruktif uyku apnesinin tedavisi alt üriner semptomları düzeltir mi?

Öz:

Aim: To evaluate lower urinary tract symptoms in patients with obstructive sleep apnea syndrome (OSAS) and to determine if the symptoms improved after treatment for OSAS. Materials and methods: In all, 145 male patients were diagnosed with OSAS via polysomnography and evaluated for lower urinary tract symptoms using the International Prostate Symptom Score (IPSS). All of the patients were evaluated by an ear, nose, and throat (ENT) specialist. Surgery or continuous positive airway pressure treatment was recommended based on the apnea-hypopnea index (AHI) and ENT examination results. Only 23 of the patients that were available for follow-up during treatment were included in the study. The IPSS form was administered after treatment and symptom scores were updated for the 23 patients. The age range of the 23 patients was 26-65 years. The Wilcoxon signed rank, Kruskal-Wallis, and Spearman rho tests were used to evaluate differences in IPSSs before and after treatment. Results: After treatment, significant improvement in lower urinary tract symptoms was confirmed statistically based on the IPSSs of 23 OSAS patients (P < 0.001). The difference in the IPSS before and after treatment was not associated with the AHI, treatment method, patient age, or body mass index (P > 0.05). Conclusion: Most of the OSAS patients had lower urinary tract symptoms, and significant improvement in these symptoms was observed following treatment for OSAS.

Anahtar Kelime: Sleep Apnea, Obstructive Forms Body Mass Index Age Factors Lower Urinary Tract Symptoms

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ODABAŞ Ö, CEYLAN C, yığman m (2012). Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. , 619 - 622.
Chicago	ODABAŞ ÖNER,CEYLAN Cavit,yığman metin Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. (2012): 619 - 622.
MLA	ODABAŞ ÖNER,CEYLAN Cavit,yığman metin Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. , 2012, ss.619 - 622.
AMA	ODABAŞ Ö,CEYLAN C,yığman m Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. . 2012; 619 - 622.
Vancouver	ODABAŞ Ö,CEYLAN C,yığman m Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. . 2012; 619 - 622.
IEEE	ODABAŞ Ö,CEYLAN C,yığman m "Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?." , ss.619 - 622, 2012.
ISNAD	ODABAŞ, ÖNER vd. "Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?". (2012), 619-622.

APA	ODABAŞ Ö, CEYLAN C, yığman m (2012). Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. Turkish Journal of Medical Sciences, 42(4), 619 - 622.
Chicago	ODABAŞ ÖNER,CEYLAN Cavit,yığman metin Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. Turkish Journal of Medical Sciences 42, no.4 (2012): 619 - 622.
MLA	ODABAŞ ÖNER,CEYLAN Cavit,yığman metin Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. Turkish Journal of Medical Sciences, vol.42, no.4, 2012, ss.619 - 622.
AMA	ODABAŞ Ö,CEYLAN C,yığman m Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. Turkish Journal of Medical Sciences. 2012; 42(4): 619 - 622.
Vancouver	ODABAŞ Ö,CEYLAN C,yığman m Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?. Turkish Journal of Medical Sciences. 2012; 42(4): 619 - 622.
IEEE	ODABAŞ Ö,CEYLAN C,yığman m "Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?." Turkish Journal of Medical Sciences, 42, ss.619 - 622, 2012.
ISNAD	ODABAŞ, ÖNER vd. "Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms?". Turkish Journal of Medical Sciences 42/4 (2012), 619-622.