View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, April 15 (HealthDay News) -- Obstructive sleep apnea (OSA) may be the cause of frequent night awakenings and urination in patients with benign prostate enlargement (BPE) reporting nocturia, according to a study published in the March-April issue of the Journal of the American Board of Family Medicine.
Howard Tandeter, M.D., from the Ben Gurion University of the Negev in Beer-Sheva, Israel, and colleagues assessed whether nocturia severity in BPE patients was related to an underlying sleep disorder in 55- to 75-year-old men, randomly sampled from primary care clinics. Using the Berlin questionnaire, the presence of symptoms of obstructive sleep apnea (SOSA) was compared in 102 men with documented BPE and minimum once per night nocturia, and 100 men without BPE with a maximum of one episode per night.
The investigators found that there was significantly more weight gain, loudness of snoring, daytime sleepiness, and hypertension reported by patients with BPE. Significantly more patients in the BPE group were considered high risk for OSA compared to the control group (59 versus 31). The odds ratio for SOSA increased incrementally with the number of episodes of nocturia per night, from 1.00 with no nocturia, 2.44 with one episode, 5.75 for two to three episodes, and 12.3 for more than three episodes.
"The odds for reporting SOSAs increase among patients reporting frequent nocturia episodes. Therefore, the diagnosis of OSA should be considered seriously whenever a patient reports frequent awakenings from sleep to urinate, even when the symptom was previously attributed to the presence of BPE," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top