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Sleep Quality, Severity and Bother Score of Lower Urinary Tract Symptoms Among Patients with Benign Prostate Hyperplasia and Cancer

Abimbola Oyelekan1, Olawale Ogunsemi1, Taiwo Afe1, Babatunde Ayoade1, Collins Nwokoro1, Olukayode Oluyemi1, Funmilayo Oyelekan2, Olufunke Adeleye1

  1. Olabisi Onabanjo University College of Medicine

  2. Federal Neuropsychiatric Hospital Aro – Nursing Abeokuta, Ogun, Nigeria​

Correspondence to: Dr. Abimbola Oyelekan, P.O Box 1284, Sagamu Post Office, Ogun State, S.W. Nigeria; email:


Background: Symptomatic Prostatic diseases incidence increase with age. Nocturia disturbs sleep. We set out to determine the quality of sleep and severity of Lower Urinary Tract Symptoms (LUTS) and bother score in patients with Benign Prostatic Hyperplasia (BPH) and Carcinoma of the Prostate (CAP). Methods: A cross-sectional study of new patients seen in the Urology outpatient clinic with Bladder Outlet Obstruction (BOO) from either BPH or CAP over a period of 18months. They were interviewed using Pittsburgh Sleep Quality Index (PSQI) and International Prostate Symptoms Score (IPSS) questionnaires. Data obtained were analysed using SPSS version 23.
Results: A total of 168 patients were interviewed (BPH:CAP is 59.5%:40.5 %). Significant difference between their mean ages (BPH=65.86±9.63; CAP=71.96±10.44, p=0.00, t = 3.893). About 45% of the patients with Prostatic diseases have poor sleep quality. CAP patients (52.9%) were more of poor sleepers compared with BPH patients (40.0%). CAP patients (46.3%) have more severe IPSS compared to BPH patients (33.3%). Both CAP (70.6%) and BPH (76.0%) patients reported high bother score. Conclusion: CAP and BPH patients have high bother score affirming need for early treatment, CAP patients had more severe lower urinary tract symptoms and have poorer sleep quality than BPH patients.

Key words: IPSS, BPH/CAP, Sleep quality, LUTS, Bother score

Ann Afr Surg. 2020; 17(2):***


Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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