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The dysfunctional voiding scoring system: quantitative standardization of dysfunctional voiding symptoms in children
W Farhat1, D J Bägli, G Capolicchio
1Division of Urology, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
The Journal of Urology
|August 25, 2000
Summary
A new Dysfunctional Voiding Symptom Score accurately quantifies pediatric voiding dysfunction. This objective tool aids in diagnosing and measuring treatment effectiveness for children with voiding issues.
Area of Science:
- Pediatric Urology
- Child Health
- Medical Diagnostics
Background:
- Standardized reporting for pediatric nonneurogenic voiding dysfunction is lacking.
- This hinders academic research and clinical understanding.
- A new objective instrument is needed to grade voiding symptoms.
Purpose of the Study:
- To evaluate the performance of a newly devised, objective instrument.
- To quantify and grade the severity of abnormal voiding behaviors in children.
- Introduce the Dysfunctional Voiding Symptom Score (DVSS).
Main Methods:
- Developed a 10-parameter scoring system (0-30 total score).
- Administered the DVSS to two groups: pediatric urology patients (Group 1) and a control cohort (Group 2).
- Excluded patients with organic or anatomical diseases.
Main Results:
- Group 1 (n=104) had a median score of 14; Group 2 (n=54) had a median score of 4.
- Females had a higher odds ratio (2.93) for dysfunctional voiding.
- Optimal cutoff scores were identified for females (6.026) and males (9.02) with high sensitivity and specificity.
Conclusions:
- The Dysfunctional Voiding Symptom Score provides accurate, objective grading of pediatric voiding behaviors.
- This system will aid comparative research, diagnosis, and outcome analysis.
- Facilitates objective measurement of treatment efficacy in pediatric voiding dysfunction.