Dysfunctional Voiding and Incontinence Scoring System: Quantitative Evaluation of Incontinence Symptoms in Pediatric Population

Akbal, Cem; Genç, Yasemin; Burgu, Berk; Özden, Ender; Tekgül, Serdar

doi:10.1097/01.ju.0000152183.91888.f6

Cited by 207 publications

(197 citation statements)

References 7 publications

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“…For a successful treatment of enuresis, it is important to differentiate between bedwetting only at night, nocturnal bedwetting with diurnal symptoms, and isolated daytime incontinence (4)(5)(6). The treatment of enuresis associated with dysfunctional voiding is usually impossible without managing any voiding abnormalities.…”

Section: Introductionmentioning

confidence: 99%

“…There are several classifications for the clinical presentation of incontinence symptoms (4,6). Some classifications are based on urodynamic parameters (urge syndrome, lazy bladder, dysfunctional voiding), while others are based on clinical presentations (4,5).…”

Section: Introductionmentioning

confidence: 99%

“…Some classifications are based on urodynamic parameters (urge syndrome, lazy bladder, dysfunctional voiding), while others are based on clinical presentations (4,5). Besides the classifications, coexistence of voiding dysfunction with NE is also a common issue (6).…”

Section: Introductionmentioning

confidence: 99%

“…Evaluation with noninvasive tools, such as questionnaires, urine analysis, or uroflowmetry, is useful in diagnosis, treatment planning, and evaluating the response to treatment during the follow-up period (8). The dysfunctional voiding symptom score (DVSS) is used in children to evaluate abnormal voiding patterns quantitatively (6). The DVSS was validated for Turkey and has been widely used in the evaluation of voiding patterns of enuretic patients.…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of enuresis associated with dysfunctional voiding is usually impossible without managing any voiding abnormalities. The diagnosis of dysfunctional voiding relies on a detailed history that is based mainly on parental reporting, physical examination, and urine analysis (6,7). Evaluation with noninvasive tools, such as questionnaires, urine analysis, or uroflowmetry, is useful in diagnosis, treatment planning, and evaluating the response to treatment during the follow-up period (8).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A comparison of dysfunctional voiding scores between patients with nocturnal enuresis and healthy children

Boybeyi¹,

Aslan²,

Durmuş³

et al. 2014

Turk J Med Sci

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Background/aim: To compare dysfunctional voiding symptom scores (DVSSs) between enuretic children and nonenuretic controls and to investigate associated factors that may affect DVSS. Materials and methods:A questionnaire including demographic features, educational status of parents, DVSS questions, and urinary tract infection (UTI) history was designed. A total of 269 patients were included; Group 1 comprised 161 patients with no voiding symptoms and Group 2 comprised 108 patients with nocturnal enuresis (NE). Children with DVSS of greater than 8.5 were suspected to have dysfunctional voiding. The results were evaluated using SPSS 15.0 with Kruskal-Wallis and multivariate logistic regression tests. Results:The median DVSS was 2 (interquartile range [IQR]: 1-3) in Group 1 and 8 (IQR: 5-12) in Group 2. The percentage of children with DVSS greater than 8.5 was 0.6% in Group 1 and 53.1% in Group 2 (P = 0.01). The percentage of children with UTI history was significantly higher in Group 2 (34.3%) than Group 1 (15.9%) (P = 0.03). An increase in the educational level of the father decreased DVSS by 0.5-fold. Presence of UTI history increased DVSS 2.5-fold. Conclusion:The DVSS is a rapid, easy tool for determining abnormal voiding parameters in children. Children with NE had higher DVSSs, which was significantly affected by the father's educational status and the child's UTI history.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A comparison of dysfunctional voiding scores between patients with nocturnal enuresis and healthy children

Boybeyi¹,

Aslan²,

Durmuş³

et al. 2014

Turk J Med Sci

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Evaluation of the child with voiding dysfunction

Homsy

2015

Pediatric Incontinence

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Role of Transabdominal Ultrasonography in the Evaluation of Pediatric Patients With Daytime Wetting

Oktay

Isik

2022

J of Ultrasound Medicine

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Objectives Urinary incontinence (UI) is a frequent cause of admission to pediatric nephrology outpatient clinics. The aim of this study was to determine whether anatomical changes in lower urinary tract structures (retrovesical angulation [RVA] and bladder neck position [BNP]) are associated with UI in pediatric patients with daytime‐wetting in comparison to healthy children. Methods In this prospective study, patients with daytime UI diagnosed using the Dysfunctional Voiding Symptom Score of the International Children's Continence Society and 3‐day‐voiding/bowel diary were compared with an age‐ and sex‐matched control group without incontinence. In addition to routine clinical evaluation, RVA and BNP were measured at rest using transabdominal ultrasound (TA‐US). Intra‐rater agreement was estimated. Results A total of 88 children were included in the study, with 44 children (22 boys, 22 girls) each in patient and control groups. RVA was significantly greater and BNP was significantly lower in the patient group versus control group (RVA: 134.30 ± 10.05 vs 127.94 ± 13.15, P = .013; BNP: 11.88 ± 4.53 vs 17.20 ± 5.55, P < .001, respectively). Irrespective of the presence of incontinence, girls had a significantly greater RVA than boys (P < .001). However, there was no difference between sexes in BNP values (P = .630). Intra‐rater agreement was very strong for RVA (P < .001, r = .897), and strong for BNP (P < .001, r = .774). Conclusions TA‐US imaging is a non‐invasive and practical procedure routinely performed in pediatric patients presenting with UI complaints. Our study demonstrated anatomical changes in lower urinary tract structures in pediatric patients with UI. These changes should be considered in the diagnosis, follow‐up, and treatment of patients with UI.

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Dysfunctional Voiding and Incontinence Scoring System: Quantitative Evaluation of Incontinence Symptoms in Pediatric Population

Abstract: This statistically validated functional voiding problems symptom score may provide accurate, objective and scientific bases to grade the symptoms in comparative research, diagnosis, treatment and followup of patients with wetting and functional voiding disorders.

Cited by 207 publications

References 7 publications

A comparison of dysfunctional voiding scores between patients with nocturnal enuresis and healthy children

A comparison of dysfunctional voiding scores between patients with nocturnal enuresis and healthy children

Evaluation of the child with voiding dysfunction

Role of Transabdominal Ultrasonography in the Evaluation of Pediatric Patients With Daytime Wetting

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