The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia

Background: Nocturia is a common cause of night awakenings which bothers many patients with urinary tract diseases. NSAIDs can improve nocturia by decreasing urine production and modify the altered neural pathways between bladder and CNS. The aim of this study was to evaluate the efficacy of NSAID i...

Full description

Bibliographic Details
Main Authors: Mohammadreza Ebadzadeh, Rayka Sharifian Amiri, Arsalan Jalili, Afshin Sarrafinejad, Hamed Zanganeh, Aliassghar Ketabchi
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2019-07-01
Series:Journal of Kerman University of Medical Sciences
Subjects:
Online Access:https://jkmu.kmu.ac.ir/article_89522_e002060082e4a355e1eb4a7765f4449b.pdf
_version_ 1827911900684353536
author Mohammadreza Ebadzadeh
Rayka Sharifian Amiri
Arsalan Jalili
Afshin Sarrafinejad
Hamed Zanganeh
Aliassghar Ketabchi
author_facet Mohammadreza Ebadzadeh
Rayka Sharifian Amiri
Arsalan Jalili
Afshin Sarrafinejad
Hamed Zanganeh
Aliassghar Ketabchi
author_sort Mohammadreza Ebadzadeh
collection DOAJ
description Background: Nocturia is a common cause of night awakenings which bothers many patients with urinary tract diseases. NSAIDs can improve nocturia by decreasing urine production and modify the altered neural pathways between bladder and CNS. The aim of this study was to evaluate the efficacy of NSAID in the treatment of nocturia secondary to BPH. Seventy-one patients complaining of BPH with LUTS that was prominent with nocturia entered this study. Methods: Between January 2013 and March 2014, 71 men aged 50-85, complaining of BPH with LUTS that was prominent with nocturia (voiding more than 2 times at night) entered this prospective study. All patients received 100 mg Diclofenac Na suppository for 30 days at night (9pm). The main outcomes included night-time frequency; IPSS, prostate volume and PSA were recorded before and after study. Statistical analysis was performed using the paired t-test, Pearson’s correlation and Wilcoxon rank test. Results: In our study, 88.7 % of patients had an acceptable response to Diclofenac Na. Prostate size showed a significant reduction after one month treatment with diclofenac Na. There were no serious adverse effects. Conclusion: In our study Diclofenac Na can improve symptoms of BPH and can be used for the treatment of nocturia secondary to BPH.
first_indexed 2024-03-13T02:08:50Z
format Article
id doaj.art-248fea8d96234578bfcae3289a517f99
institution Directory Open Access Journal
issn 2008-2843
language English
last_indexed 2024-03-13T02:08:50Z
publishDate 2019-07-01
publisher Kerman University of Medical Sciences
record_format Article
series Journal of Kerman University of Medical Sciences
spelling doaj.art-248fea8d96234578bfcae3289a517f992023-07-01T05:16:27ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432019-07-0126428929610.22062/jkmu.2019.8952289522The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic HyperplasiaMohammadreza Ebadzadeh0Rayka Sharifian Amiri1Arsalan Jalili2Afshin Sarrafinejad3Hamed Zanganeh4Aliassghar Ketabchi5Assistant Professor, Department of Urology, Clinical Research Center, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, IranMen’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Stem Cell and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, IranAssistant Professor of Medical Informatics, Medical Informatics Research Center, Institute of Futures Studies in Health. Kerman University of Medical Sciences, Kerman, IranMedical Practitioner, Kerman University of Medical Sciences, Kerman, IranAssociated Professor of Urology, Physiology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranBackground: Nocturia is a common cause of night awakenings which bothers many patients with urinary tract diseases. NSAIDs can improve nocturia by decreasing urine production and modify the altered neural pathways between bladder and CNS. The aim of this study was to evaluate the efficacy of NSAID in the treatment of nocturia secondary to BPH. Seventy-one patients complaining of BPH with LUTS that was prominent with nocturia entered this study. Methods: Between January 2013 and March 2014, 71 men aged 50-85, complaining of BPH with LUTS that was prominent with nocturia (voiding more than 2 times at night) entered this prospective study. All patients received 100 mg Diclofenac Na suppository for 30 days at night (9pm). The main outcomes included night-time frequency; IPSS, prostate volume and PSA were recorded before and after study. Statistical analysis was performed using the paired t-test, Pearson’s correlation and Wilcoxon rank test. Results: In our study, 88.7 % of patients had an acceptable response to Diclofenac Na. Prostate size showed a significant reduction after one month treatment with diclofenac Na. There were no serious adverse effects. Conclusion: In our study Diclofenac Na can improve symptoms of BPH and can be used for the treatment of nocturia secondary to BPH.https://jkmu.kmu.ac.ir/article_89522_e002060082e4a355e1eb4a7765f4449b.pdfnocturiaprostatic hyperpelasiadiclofenac sodium
spellingShingle Mohammadreza Ebadzadeh
Rayka Sharifian Amiri
Arsalan Jalili
Afshin Sarrafinejad
Hamed Zanganeh
Aliassghar Ketabchi
The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia
Journal of Kerman University of Medical Sciences
nocturia
prostatic hyperpelasia
diclofenac sodium
title The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia
title_full The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia
title_fullStr The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia
title_full_unstemmed The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia
title_short The Effect of Diclofenac Sodium on Nocturia Caused by Benign Prostatic Hyperplasia
title_sort effect of diclofenac sodium on nocturia caused by benign prostatic hyperplasia
topic nocturia
prostatic hyperpelasia
diclofenac sodium
url https://jkmu.kmu.ac.ir/article_89522_e002060082e4a355e1eb4a7765f4449b.pdf
work_keys_str_mv AT mohammadrezaebadzadeh theeffectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT raykasharifianamiri theeffectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT arsalanjalili theeffectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT afshinsarrafinejad theeffectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT hamedzanganeh theeffectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT aliassgharketabchi theeffectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT mohammadrezaebadzadeh effectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT raykasharifianamiri effectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT arsalanjalili effectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT afshinsarrafinejad effectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT hamedzanganeh effectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia
AT aliassgharketabchi effectofdiclofenacsodiumonnocturiacausedbybenignprostatichyperplasia