Canadian Urological Association Journal
Evaluating the risk of obstructive sleep apnea at a urology clinic
By Jainik Shah, Connor Roque, Saeed Marzban and 6 others.
Abstract
Introduction
Obstructive sleep apnea (OSA) is a common condition marked by recurrent upper airway obstruction, affecting 2–4% of middle-aged adults. Its prevalence increases with age, body mass index (BMI), and central adiposity. Beyond its respiratory consequences, OSA is linked to several urologic conditions, including benign prostatic hyperplasia, erectile dysfunction, and low testosterone. This study evaluated the prevalence of OSA screen-positivity among men attending a specialized urology clinic and explored their access to and experiences with primary care providers (PCP).
Methods
A cross-sectional survey was administered to consecutive male patients aged 18 years or older presenting between September 2024 and May 2025. Demographic and clinical data were collected, and OSA risk was assessed using the STOP-Bang questionnaire, stratifying participants into risk categories. Statistical comparisons included Chi-squared/Fisher’s exact and Kruskal-Wallis tests.



