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Use of the dysfunctional voiding symptom score to predict resolution of vesicoureteral reflux in children with

Jyoti Upadhyay1, Stéphane Bolduc, Darius J Bagli

  • 1Division of Urology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

The Journal of Urology
|April 11, 2003
PubMed

Insights

Dysfunctional voiding symptom score (DVSS) effectively monitors behavioral modification compliance in children with vesicoureteral reflux (VUR). A lower DVSS predicts successful VUR resolution, highlighting its noninvasive role in expectant management.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Behavioral Medicine

Background:

  • Dysfunctional voiding (DV) is linked to vesicoureteral reflux (VUR) presence and persistence.
  • The dysfunctional voiding symptom score (DVSS) is a validated instrument for assessing DV.
  • Understanding the DVSS's role in VUR management is crucial.

Purpose of the Study:

  • To evaluate the association between DVSS and VUR.
  • To assess the DVSS's utility in monitoring VUR improvement and resolution.
  • To correlate DVSS changes with VUR outcomes following behavioral modification.

Main Methods:

  • A prospective observational study of 19 female patients with VUR and DV undergoing behavioral modification.
  • DVSS was recorded at baseline and during follow-up (mean 24 months).
  • Correlation between DVSS scores and VUR status (resolution/improvement) was analyzed.

Main Results:

  • Of 58 patients with urinary tract infection and DV, 19 (33%) had VUR.
  • Patients with VUR had a mean baseline DVSS of 11.7.
  • A significant decrease in DVSS (9.6 to 3.7, p=0.01) was observed in patients with VUR resolution/improvement.

Conclusions:

  • A significant reduction in DVSS indicates compliance with behavioral therapy.
  • DVSS serves as a noninvasive tool to monitor treatment adherence.
  • DVSS can predict the ultimate resolution of VUR in pediatric patients.
Abstract

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