Urgent need to pee (Overactive Bladder) in elderly men was decreased by 200,000 IU Vitamin D injection
Impacts of Serum 25-OH Vitamin D Level on Lower Urinary Tract Symptoms in Male: A Step Forward to Decrease Overactive Bladder.
BJU Int. 2018 May 9. DOI: 10.1111/bju.14387
Yoo S1, Oh S2, Kim HS3, Choi HS4, Park J1, Cho SY1, Son H1, Jeong H1, Lee HW3, Cho MC1.
OBJECTIVES:
To evaluate the impacts of serum vitamin D level on male lower urinary tract symptoms (LUTS).
MATERIALS AND METHODS:
From 2014 to 2017, 434 male patients with LUTS were included. The impacts of vitamin D on LUTS were evaluated using multivariate analysis to adjust for age, body mass index, prostate specific antigen, testosterone, Hemoglobin A1c, physical activity, and prostate volume. To exclude the effect of seasons, we also analyzed the impacts during each season.
RESULTS:
Vitamin D level was lowest in winter. According to the International Prostate Symptom Score (I-PSS) and Overactive Bladder Symptom Score (OABSS) , the severity of LUTS peaked in winter. There were no seasonal differences between prostate volume, peak flow rate, and post-void residual urine. For all patients, multivariate analysis showed that lower vitamin D was significantly associated with a higher total OABSS, whereas it was not associated with prostate volume, peak flow rate, post-void residual urine, and total I-PSS. In winter, lower vitamin D was significantly associated with a higher total OABSS based on multivariate analysis, whereas it was not during other seasons. In patients with vitamin D deficiency, the total OABSS significantly decreased after vitamin D replacement. The greatest improvement in total OABSS was associated with lower pre-treatment total OABSS and higher post-treatment vitamin D level.
CONCLUSIONS:
Vitamin D decrement in men with LUTS may play a role in aggravated overactive bladder (OAB) symptoms, especially in winter. Increasing vitamin D in patients with vitamin D deficiency appears to alleviate OAB symptoms.