Clinical Efficacy of Walking on Nocturnal Polyuria and Sleep Quality with Benign Prostatic Hyperplasia Patients

Purpose: We examined the efficacy of walking on nocturnal polyuria and sleep quality with benign prostatic hyperplasia patients as a first treatment intervention. Patients and Methods: We conducted a prospective evaluation of 20 male patients for symptomatic nocturia (nocturnal polyuria) associated with benign prostatic hyperplasia. I advised to add more 60 min walking before dinner for 4 weeks without other lifestyle modifications. The frequency volume chart, International Prostate Symptom Score, fluid intake, patients' treatment satisfaction, and Pittsburgh Sleep Quality Index were analyzed before and after treatment. Results: Mean nighttime urine volume and nocturnal maximum voided volume improved significantly from 793 to 443 ml (p<0.001) and 267 to 315 ml (p=0.002), respectively. Mean nocturnal voids and hours of undisturbed sleep also improved from 2.3 to 1.6 times (p=0.025) and 3.0 to 4.4 hours (p<0.001), respectively. Patients' treatment satisfaction and Pittsburgh Sleep Quality Index revealed an improvement from 7.2 to 4.3 (p<0.001) and 8.3 to 6.3 (global score; p<0.01). No statistical change was observed regarding water intake. Conclusions: Walking before dinner was shown to be an effective non invasive treatment modality for patients with nocturnal polyuria with lower urinary tract symptoms associated with benign prostatic hyperplasia. Walking also improves sleep quality and patient satisfaction.