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Dysfunctional voiding in children with asthma

Ozge Uysal Soyer1, Betul Kilincoglu, Mine Fedakar Senyucel

  • 1Department of Pediatrics Allergy, Hacettepe University, School of Medicine, Ankara 06100, Turkey. ozgeusoyer@gmail.com

Archives of Disease in Childhood
|February 5, 2013
PubMed

Insights

Children with asthma, especially those under 6, have a significantly higher risk of dysfunctional voiding (DV). Asthma increases the likelihood of these urinary symptoms in young children.

Area of Science:

  • Pediatrics
  • Urology
  • Allergy & Immunology

Background:

  • Dysfunctional voiding (DV) encompasses voiding symptoms and urinary incontinence.
  • Asthma is a common childhood condition with potential systemic effects.
  • The relationship between asthma and DV in children requires further investigation.

Purpose of the Study:

  • To determine the prevalence of suspected dysfunctional voiding (DV) in children with asthma.
  • To identify risk factors associated with DV in pediatric asthma patients.
  • To compare DV prevalence and symptoms between children with and without asthma.

Main Methods:

  • A prospective study design was employed.
  • Participants included children aged 4-10 years with asthma (n=178) and healthy controls (n=197).
  • The Dysfunctional Voiding and Incontinence Scoring System (DVISS) was administered, alongside demographic and asthma-related data collection.

Main Results:

  • Suspected DV was significantly more prevalent in children with asthma (27.9%) compared to healthy children (6.6%) under 6 years old (p=0.001).
  • Asthma was associated with a 5.7-fold increased risk of suspected DV in younger children (OR=5.7).
  • Older children with asthma showed similar DV prevalence but higher frequencies of urgency and urinary frequency.

Conclusions:

  • Asthma is linked to a higher prevalence of dysfunctional voiding symptoms in younger children (under 6) who have completed toilet training.
  • In older children with asthma, symptoms like urinary frequency and urgency are more prominent.
  • These findings highlight the importance of screening for DV in children with asthma, particularly younger ones.

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