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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Frequent urination
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<blockquote data-quote="Nelson Vergel" data-source="post: 217622" data-attributes="member: 3"><p>J Urol. 2016 Oct;196(4):1183-9. doi: 10.1016/j.juro.2016.04.060. Epub 2016 Apr 19.</p><p></p><p><strong>Sleep Apnea and Circadian Extracellular Fluid Change as Independent Factors for Nocturnal Polyuria</strong></p><p></p><p>Abstract</p><p>Purpose: We investigated the relationships among nocturnal polyuria, sleep apnea and body fluid volume to elucidate the pathophysiology of nocturia in sleep apnea syndrome.</p><p></p><p>Materials and methods: We enrolled 104 consecutive patients who underwent polysomnography for suspected sleep apnea syndrome. Self-assessed symptom questionnaires were administered to evaluate sleep disorder and lower urinary tract symptoms, including nocturia. Voiding frequency and voided volume were recorded using a 24-hour frequency-volume chart. Body fluid composition was estimated in the morning and at night using bioelectric impedance analysis. Frequency-volume chart data were analyzed in 22 patients after continuous positive airway pressure therapy.</p><p></p><p>Results: <strong>Patients with nocturnal polyuria showed a higher apnea-hypopnea index</strong> (33.9 vs 24.2, p = 0.03) and a larger circadian change in extracellular fluid adjusted to lean body mass (0.22 vs -0.19, p = 0.019) than those without nocturnal polyuria. These relations were more evident in patients 65 years old or older than in those 64 years or younger. A multivariate linear regression model showed an independent relationship of nocturnal polyuria with the apnea-hypopnea index and the circadian change in extracellular fluid adjusted to lean body mass (p = 0.0012 and 0.022, respectively). <strong>Continuous positive airway pressure therapy significantly improved nocturnal polyuria and nocturia only in patients with nocturnal polyuria.</strong></p><p><strong></strong></p><p><strong>Definitions:</strong></p><p></p><p>Nocturnal polyuria is a syndrome where the usual day to night ratio of urine production is altered. In patients with nocturnal polyuria, 33% of the total daily urine output occurs at night, although the daily total urine output remains normal.</p><p></p><p>Nocturia is a <strong>condition that causes you to wake up during the night to urinate</strong>. This can be thought of as nocturnal urinary frequency — having to urinate more often at night. This condition becomes more common as people age and occurs in both men and women, sometimes for different reasons.</p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 217622, member: 3"] J Urol. 2016 Oct;196(4):1183-9. doi: 10.1016/j.juro.2016.04.060. Epub 2016 Apr 19. [B]Sleep Apnea and Circadian Extracellular Fluid Change as Independent Factors for Nocturnal Polyuria[/B] Abstract Purpose: We investigated the relationships among nocturnal polyuria, sleep apnea and body fluid volume to elucidate the pathophysiology of nocturia in sleep apnea syndrome. Materials and methods: We enrolled 104 consecutive patients who underwent polysomnography for suspected sleep apnea syndrome. Self-assessed symptom questionnaires were administered to evaluate sleep disorder and lower urinary tract symptoms, including nocturia. Voiding frequency and voided volume were recorded using a 24-hour frequency-volume chart. Body fluid composition was estimated in the morning and at night using bioelectric impedance analysis. Frequency-volume chart data were analyzed in 22 patients after continuous positive airway pressure therapy. Results: [B]Patients with nocturnal polyuria showed a higher apnea-hypopnea index[/B] (33.9 vs 24.2, p = 0.03) and a larger circadian change in extracellular fluid adjusted to lean body mass (0.22 vs -0.19, p = 0.019) than those without nocturnal polyuria. These relations were more evident in patients 65 years old or older than in those 64 years or younger. A multivariate linear regression model showed an independent relationship of nocturnal polyuria with the apnea-hypopnea index and the circadian change in extracellular fluid adjusted to lean body mass (p = 0.0012 and 0.022, respectively). [B]Continuous positive airway pressure therapy significantly improved nocturnal polyuria and nocturia only in patients with nocturnal polyuria. Definitions:[/B] Nocturnal polyuria is a syndrome where the usual day to night ratio of urine production is altered. In patients with nocturnal polyuria, 33% of the total daily urine output occurs at night, although the daily total urine output remains normal. Nocturia is a [B]condition that causes you to wake up during the night to urinate[/B]. This can be thought of as nocturnal urinary frequency — having to urinate more often at night. This condition becomes more common as people age and occurs in both men and women, sometimes for different reasons. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Frequent urination
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