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

doi:10.3906/sag-1102-1374 Does the treatment of obstructive sleep apnea syndrome improve lower urinary tract symptoms? Öner ODABAŞ, Cavit CEYLAN, Metin YIĞMAN Aim: To evaluate lower urinary tract symptoms in patients with obstructive sleep apnea syndrome (OSAS) and to determine if the symptoms improved aft er 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. Th e IPSS form was administered aft er treatment and symptom scores were updated for the 23 patients. Th e age range of the 23 patients was 26-65 years. Th e Wilcoxon signed rank, Kruskal-Wallis, and Spearman rho tests were used to evaluate diff erences in IPSSs before and aft er treatment. Results: Aft er treatment, signifi cant improvement in lower urinary tract symptoms was confi rmed statistically based on the IPSSs of 23 OSAS patients (P < 0.001). Th e diff erence in the IPSS before and aft er 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 signifi cant improvement in these symptoms was observed following treatment for OSAS. Key words: Obstructive sleep apnea syndrome, treatment, lower urinary tract symptoms Obstruktif uyku apnesinin tedavisi alt üriner semptomları düzeltir mi