Sleep Quality and Lower Urinary Tract Symptoms Among Patients with Prostatic Diseases

Abimbola Oyelekan,1 Olawale Ogunsemi,1 Taiwo Afe,1 Babatunde Ayoade,1 Collins Nwokoro,1 Olukayode Oluyemi,1 Funmilayo Oyelekan,2 Olufunke Adeleye1

  1. Olabisi Onabanjo University College of Medicine

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

Correspondence to: Dr. Abimbola Oyelekan; Email:


Background: Incidence of symptomatic prostatic diseases increases 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 18 months. Patients were interviewed using Pittsburgh Sleep Quality Index (PSQI) and International prostate symptoms score (IPSS) questionnaires. Data obtained were analyzed using SPSS version 23. Results: 168 patients were interviewed. CAP patients were older than their BPH counterparts. About 45% of the patients had poor sleep quality. CAP patients (52.9%) were more of poor sleepers compared with BPH patients (40.0%). CAP patients (46.3%) had more severe IPSS than 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 poorer sleep quality than BPH patients.

Keywords: IPSS, Sleep quality, LUTS, Bother score
Ann Afr Surg. 2020; 17(2):69-71
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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