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Usefulness of a new dysfunctional voiding and incontinence scoring system in predicting treatment effect in children

Can Tuygun1, Nurettin Sertcelik, Hasan Bakirtas

  • 1Department of Urology, S.B. Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. tuyguncan@yahoo.com

Urologia Internationalis
|July 14, 2007
PubMed

Insights

The Dysfunctional Voiding and Incontinence Scoring System (DVAISS) shows high sensitivity in predicting treatment success for pediatric voiding dysfunction. While its specificity varies, DVAISS can aid in diagnosing and managing these conditions.

Area of Science:

  • Pediatric Urology
  • Clinical Diagnostics
  • Urodynamics

Background:

  • Voiding dysfunction is common in children, often leading to wetting and urinary tract infections (UTIs).
  • Accurate assessment tools are crucial for effective management of pediatric voiding disorders.
  • The Dysfunctional Voiding and Incontinence Scoring System (DVAISS) is a tool used to evaluate these conditions.

Purpose of the Study:

  • To evaluate the diagnostic role of the DVAISS in children experiencing voiding dysfunction.
  • To assess the DVAISS's effectiveness in predicting treatment outcomes for pediatric voiding issues.

Main Methods:

  • Ninety-three children with voiding dysfunction were categorized into three groups based on symptoms (wetting, recurrent UTIs, vesicoureteral reflux).
  • Individualized treatment modalities were applied, with success defined by response rates and reflux grade reduction.
  • DVAISS scores were recorded before and after treatment to analyze predictive accuracy.

Main Results:

  • Complete response rates varied across groups: 67.5% (group 1), 88.8% (group 2), and 85.71% (group 3).
  • The DVAISS demonstrated 100% sensitivity in predicting complete response across all groups.
  • Specificity for predicting complete response ranged from 79% to 100%, and for improvement in group 3, it was 83%.

Conclusions:

  • The DVAISS exhibits high sensitivity in predicting treatment response in pediatric voiding dysfunction.
  • While sensitivity is high, the specificity of the DVAISS can be decreased, suggesting its role as an auxiliary diagnostic tool.
  • The DVAISS can be a valuable supplementary instrument for clinicians managing children with voiding dysfunction.
Abstract

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