A two-day bladder diary for children: Is it enough?

Lopes, Isa; Veiga, M.L.; Braga, Ana Aparecida Nascimento Martinelli; Brasil, Cristina; Hoffmann, Anselmo; Barroso, Ubirajara

doi:10.1016/j.jpurol.2015.04.032

Cited by 24 publications

(13 citation statements)

References 21 publications

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“…The bladder diary is used to record urine output and frequency as well as fluid intake and any occurrence of urgency or involuntary urine loss. Recently, a bladder diary maintained over two, not necessarily consecutive, days has been shown to provide data that are similar to those obtained over a 3-day period (19). The color of the urine is also routinely evaluated to assess the patient's state of hydration.…”

Section: Diagnosismentioning

confidence: 73%

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

2019

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Normal bladder and urethral sphincter development as well as neural/volitional control over bladder-sphincter function are essential steps for regular lower urinary tract function. These maturational sequences are clinically evident by the age of 5 years. However, in 17–22% of children, symptoms persist beyond that age, characterizing lower urinary tract dysfunction (LUTD). The clinical spectrum is wide and includes overactive bladder, voiding postponement, underactive bladder, infrequent voiding, extraordinary daytime only urinary frequency, vaginal reflux, bladder neck dysfunction, and giggle incontinence. LUTD may lead to vesicoureteral reflux and recurrent urinary tract infections, increasing the likelihood of renal scarring. LUTD is often associated with constipation and emotional/behavioral disorders such as anxiety, depression, aggressiveness, and social isolation, making diagnosis, and treatment imperative. Diagnosis of LUTD is essentially based on clinical history, investigation of bladder storage, voiding symptoms (urinary frequency, daytime incontinence, enuresis, urgency) and constipation. Dysfunctional Voiding Score System (DVSS) is a helpful tool. Physical examination focuses on the abdomen to investigate a distended bladder or palpable fecal mass, the lumbosacral spine, and reflex testing. Bladder diaries are important for recording urinary frequency and water balance, while uroflowmetry is used to assess voided volume, maximum flow, and curve patterns. Bladder ultrasonography to measure post-void residual urine volume and urodynamics are used as supplemental tests. Current first line treatment is urotherapy, a combination of behavioral measures to avoid postponing micturition, and a restricted diet for at least 2 months. Anticholinergics, β3 agonists and neuromodulation are alternative therapies to manage refractory overactive bladder. Cure rates, at around 40%, are considered satisfactory, with daytime symptoms improving in 32% of cases. Furthermore, children who are also constipated need treatment, preferentially with polyethylene glycol at doses of 1–1.5 g/kg in the 1st 3 days and 0.25–0.5 g/kg thereafter until the 2-month period of behavioral therapy is complete. If urotherapy fails in cases of dysfunctional voiding, the next step is biofeedback to teach the child how to relax the external urethral sphincter during micturition. Success rate is around 80%. Children with underactive bladder usually need a combination of clean intermittent catheterization, alpha-blockers, biofeedback and neuromodulation; however, cure rates are uncertain.

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Section: Diagnosismentioning

confidence: 73%

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

2019

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“…Traditionally, paper-based frequency-volume charts have been used, although compliance with this reporting system having recently been questioned. [6][7][8] In comparison, the actual compliance with electronic bladder diaries was 90% to 94%. 9,10 However, participants were asked to complete their diaries, such as voided volume, as soon as possible after their events.…”

Section: Discussionmentioning

confidence: 97%

“…Automatically accumulated urine volume data recorded using the s‐HMSU, provide several advantages, as the s‐HMSU does not require the individual to input data and allows rapid transfer of logged data to a central server for rapid review and analysis, which facilitates research and clinical decision‐making. Traditionally, paper‐based frequency‐volume charts have been used, although compliance with this reporting system having recently been questioned . In comparison, the actual compliance with electronic bladder diaries was 90% to 94% .…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, 1‐ to 7‐day paper‐based frequency‐volume charts are used. However, the usefulness of the information obtained from these charts is dependent on the reliability of the recordings and duration of monitoring . Moreover, these charts are time‐consuming to complete, resulting in a low adherence rate of recording .…”

Section: Introductionmentioning

confidence: 99%

“…However, the usefulness of the information obtained from these charts is dependent on the reliability of the recordings and duration of monitoring. [6][7][8] Moreover, these charts are time-consuming to complete, resulting in a low adherence rate of recording. 9 Electronic bladder diaries have been developed to overcome the limitations of paper charts; however, these devices still require data input, including voided volume from the patient.…”

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confidence: 99%

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Validation of a novel digital health monitoring system to measure the volume of voided urine

Miyazato

Yonemoto

Ashikari

et al. 2019

Neurourology and Urodynamics

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Aim To validate a novel digital health monitoring system to measure the volume of voided urine. Methods Micturition volume was calculated using our novel digital self‐health monitoring system of urine excretion (s‐HMSU) in 18 participants (16 women and 2 men; average age, 40.8 years), without a history of voiding symptoms. Participants completed a self‐reported questionnaire regarding their medical history and water intake during the period of observation, as well as the Core Lower Urinary Tract Symptom Score (CLSS) questionnaire. To assess the reliability of the voided volumes measured using the s‐HMSU, the intraclass correlation coefficient (ICC) was calculated between the volume and the change in body weight before and after micturition. Results The CLSS questionnaire confirmed the absence of urinary system diseases in all participants. The medical history was also negative with the exception of hypertension in one participant. The ICC (1,1) between the measured volume of urine excretion using the s‐HMSU and the change in body weight was 0.972 (95% confidence interval, 0.957‐0.982). Conclusions The s‐HMSU system provides a reliable measure of voiding volume and is appropriate for home use. It has the potential to facilitate large‐scale clinical research to examine the relationship between medical diseases and voiding dysfunction.

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Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

Bogaert

Stein

Undre

et al. 2019

Neurourology and Urodynamics

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Background and Aims: The objective of this update of the EAU-ESPU guidelines recommendations for nocturnal enuresis was to review the recent published literature of studies, reviews, guidelines regarding the etiology, diagnosis and treatment options of nocturnal enuresis and transform the information into a practical recommendation strategy for the general practitioner, pediatrician, pediatric urologist and urologist. Material and Methods: Since 2012 a monthly literature search using Scopus® was performed and the relevant literature was reviewed and prospectively registered on the European Urology bedwetting enuresis resource center (http:// bedwetting.europeanurology.com/). In addition, guideline papers and statements of the European Society for Paediatric Urology (ESPU), the European Association of Urology (EAU), the National Institute for Health and Care Excellence (NICE) and the International Children Continence Society (ICCS) were used to update the knowledge and evidence resulting in this practical recommendation strategy.Recommendations have been discussed and agreed within the working group of the EAU-ESPU guidelines committee members. Results:The recommendations focus to place the child and his family in a control position. Pragmatic analysis is made of the bedwetting problem by collecting voiding and drinking habits during the day, measuring nighttime urine production and identification of possible risk factors such as high-volume evening drinking, nighttime overactive bladder, behavioral or psychological problems or sleep disordered breathing. A questionnaire will help to identify those risk factors. Conclusion: Motivation of the child is important for success. Continuous involvement of the child and the family in the treatment will improve treatment compliance, success and patient satisfaction.bedwetting, guidelines, monosymptomatic enuresis, practical recommendations Abbreviations: EAU, the European Association of Urology; ESPU, European Society for Paediatric Urology; UTI, urinary tract infections.

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A two-day bladder diary for children: Is it enough?

Cited by 24 publications

References 21 publications

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

Validation of a novel digital health monitoring system to measure the volume of voided urine

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

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