[Can the prostate save the brain? When a disadvantage becomes an advantage]

An unpleasant symptom of prostate hyperplasia is that older men get up to urinate at night. However, from the point of view of wake-up stroke, this can be an advantage, as they can detect their neurological deficit sooner due to the urge to urinate and can ask for help and receive definitive care sooner.

Between January 1. 2021 and May 30. 2024, at the Neurology Department of Borsod County University Teaching Hospital, we performed thrombolysis in 298 cases due to stroke within 4,5 hours.

We treated 60.4% men and 39.6% women. In this period, we treated 61 wake-up stroke patients, 80.3% of them were men (all were more than 60 years old).

In our region more than four times as many male patients can receive definitive care as female patients with regard to wake-up stroke. The awakening caused by prostate hyperplasia can play an important role in detecting symptoms in time.