Maximum Flow Rate is Lowest in the Early Morning in Hospitalized Men With Nocturia Evaluated Over 24 Hours by Toilet Uroflowmetry
To investigate urination parameters measured by toilet uroflowmetry in hospitalized men with nocturia over a 24-hour period to clarify the circadian rhythm of urination. Physicians often encounter male patients with complaints of low maximum flow rate only in the early morning. However, this has not...
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| Published in: | Urology (Ridgewood, N.J.) Vol. 166; pp. 196 - 201 |
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| Main Authors: | , , , , , , , , , , |
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01-08-2022
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| Abstract | To investigate urination parameters measured by toilet uroflowmetry in hospitalized men with nocturia over a 24-hour period to clarify the circadian rhythm of urination. Physicians often encounter male patients with complaints of low maximum flow rate only in the early morning. However, this has not been proved scientifically because most urinary examinations are generally performed for outpatients only during the daytime.
This retrospective study included 117 hospitalized male patients (age, 68.7 ± 12.8 years). The data of 4689 urinations during their hospital stay were evaluated on the ward by toilet uroflowmetry, which is a toilet-type device that allows patients to urinate as usual. The records including voided volume, maximum flow rate, and voiding time were evaluated as averages of 8 time periods of 3 hours each by generalized linear mixed models with an identity link function to adjust for personal bias.
Voided volume after adjustment for age was significantly higher during the nighttime (21:00-06:00) than that in the morning (06:00-09:00) and highest from 00:00-03:00. Interestingly, even after adjustment for both voided volume and age, the maximum flow rate from 06:00-09:00 was the lowest. Voiding time after adjustment for age and voided volume was significantly higher during the nighttime (00:00-06:00) than that from 06:00-09:00.
We clearly showed the circadian rhythm of urination in a group of hospitalized men with nocturia. Maximum flow rate was lowest in the early morning, including just after waking up. |
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| AbstractList | To investigate urination parameters measured by toilet uroflowmetry in hospitalized men with nocturia over a 24-hour period to clarify the circadian rhythm of urination. Physicians often encounter male patients with complaints of low maximum flow rate only in the early morning. However, this has not been proved scientifically because most urinary examinations are generally performed for outpatients only during the daytime.
This retrospective study included 117 hospitalized male patients (age, 68.7 ± 12.8 years). The data of 4689 urinations during their hospital stay were evaluated on the ward by toilet uroflowmetry, which is a toilet-type device that allows patients to urinate as usual. The records including voided volume, maximum flow rate, and voiding time were evaluated as averages of 8 time periods of 3 hours each by generalized linear mixed models with an identity link function to adjust for personal bias.
Voided volume after adjustment for age was significantly higher during the nighttime (21:00-06:00) than that in the morning (06:00-09:00) and highest from 00:00-03:00. Interestingly, even after adjustment for both voided volume and age, the maximum flow rate from 06:00-09:00 was the lowest. Voiding time after adjustment for age and voided volume was significantly higher during the nighttime (00:00-06:00) than that from 06:00-09:00.
We clearly showed the circadian rhythm of urination in a group of hospitalized men with nocturia. Maximum flow rate was lowest in the early morning, including just after waking up. OBJECTIVESTo investigate urination parameters measured by toilet uroflowmetry in hospitalized men with nocturia over a 24-hour period to clarify the circadian rhythm of urination. Physicians often encounter male patients with complaints of low maximum flow rate only in the early morning. However, this has not been proved scientifically because most urinary examinations are generally performed for outpatients only during the daytime. METHODSThis retrospective study included 117 hospitalized male patients (age, 68.7 ± 12.8 years). The data of 4689 urinations during their hospital stay were evaluated on the ward by toilet uroflowmetry, which is a toilet-type device that allows patients to urinate as usual. The records including voided volume, maximum flow rate, and voiding time were evaluated as averages of 8 time periods of 3 hours each by generalized linear mixed models with an identity link function to adjust for personal bias. RESULTSVoided volume after adjustment for age was significantly higher during the nighttime (21:00-06:00) than that in the morning (06:00-09:00) and highest from 00:00-03:00. Interestingly, even after adjustment for both voided volume and age, the maximum flow rate from 06:00-09:00 was the lowest. Voiding time after adjustment for age and voided volume was significantly higher during the nighttime (00:00-06:00) than that from 06:00-09:00. CONCLUSIONWe clearly showed the circadian rhythm of urination in a group of hospitalized men with nocturia. Maximum flow rate was lowest in the early morning, including just after waking up. |
| Author | Miyoshi, Miho Miyoshi, Yuto Uesaka, Yuka Nozaki, Taiji Ishikawa, Keisuke Horie, Shigeo Kiuchi, Hiroshi Hiramatsu, Ippei Tsujimura, Akira Ogasa, Taiki Shirai, Masato |
| Author_xml | – sequence: 1 givenname: Ippei orcidid: 0000-0003-1174-1560 surname: Hiramatsu fullname: Hiramatsu, Ippei organization: Department of Urology, Juntendo University, Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan – sequence: 2 givenname: Akira orcidid: 0000-0002-3821-5184 surname: Tsujimura fullname: Tsujimura, Akira email: atsujimu@juntendo.ac.jp organization: Department of Urology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan – sequence: 3 givenname: Miho surname: Miyoshi fullname: Miyoshi, Miho organization: Department of Urology, Juntendo University, Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan – sequence: 4 givenname: Taiki surname: Ogasa fullname: Ogasa, Taiki organization: Department of Urology, Juntendo University, Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan – sequence: 5 givenname: Yuto surname: Miyoshi fullname: Miyoshi, Yuto organization: Department of Urology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan – sequence: 6 givenname: Keisuke surname: Ishikawa fullname: Ishikawa, Keisuke organization: Department of Urology, Juntendo University, Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan – sequence: 7 givenname: Yuka surname: Uesaka fullname: Uesaka, Yuka organization: Department of Urology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan – sequence: 8 givenname: Taiji surname: Nozaki fullname: Nozaki, Taiji organization: Department of Urology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan – sequence: 9 givenname: Masato surname: Shirai fullname: Shirai, Masato organization: Department of Urology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan – sequence: 10 givenname: Hiroshi surname: Kiuchi fullname: Kiuchi, Hiroshi organization: Osaka University Graduate School of Medicine Department of Urology, Suita, Osaka, Japan – sequence: 11 givenname: Shigeo surname: Horie fullname: Horie, Shigeo organization: Department of Urology, Juntendo University, Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35314183$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_urology_2023_06_008 crossref_primary_10_1007_s11934_024_01200_0 crossref_primary_10_1111_jjns_12557 crossref_primary_10_1186_s40101_023_00346_z |
| Cites_doi | 10.1152/ajprenal.00126.2010 10.1016/S0022-5347(05)64472-2 10.1126/science.1059542 10.1016/j.cellimm.2007.09.005 10.1097/JU.0000000000001504 10.1016/S0022-5347(01)65568-X 10.1016/S0090-4295(97)00190-8 10.1038/ncomms1812 10.1111/j.1464-410X.2004.05003.x 10.1038/sj.pcan.4500763 10.3390/ijms22041594 10.1016/S0022-5347(17)35651-3 10.1002/nau.24403 10.1590/S1677-5538.IBJU.2013.06.10 10.1016/S0022-5347(17)56550-7 10.1038/s41598-021-92595-0 10.1016/j.juro.2013.02.024 10.1097/JU.0000000000000022 10.1016/j.juro.2009.02.113 10.4103/0970-1591.57912 10.1007/s11255-014-0733-y 10.2165/00002512-199915060-00003 10.1002/nau.20492 10.1111/j.1464-4096.2004.04821.x 10.1001/jamainternmed.2018.2669 10.1016/j.juro.2017.08.108 10.5213/inj.1734860.430 |
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| Title | Maximum Flow Rate is Lowest in the Early Morning in Hospitalized Men With Nocturia Evaluated Over 24 Hours by Toilet Uroflowmetry |
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