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Updated: Apr 19, 2026
Real-Time Void Spot Assay
Published on: February 10, 2023
A comparison of dysfunctional voiding scores between patients with nocturnal enuresis and healthy children
Özlem Boybeyi1, Mustafa Kemal Aslan, Emine Gül Durmus
1Department of Pediatric Surgery, Kırıkkale University, Turkey. ozlemboy80@yahoo.com
Insights
Children with nocturnal enuresis (NE) have higher dysfunctional voiding symptom scores (DVSSs). Factors like parental education and urinary tract infection (UTI) history significantly impact these scores in enuretic children.
Area of Science:
- Pediatric Urology
- Clinical Research
- Diagnostic Tools
Background:
- Dysfunctional voiding is a common concern in children.
- Nocturnal enuresis (NE) may be associated with voiding dysfunction.
- Assessing voiding symptoms is crucial for diagnosis and management.
Purpose of the Study:
- To compare dysfunctional voiding symptom scores (DVSSs) between children with and without nocturnal enuresis (NE).
- To identify factors associated with higher DVSSs in children.
- To evaluate the utility of DVSS in identifying abnormal voiding parameters.
Main Methods:
- A questionnaire assessed demographic data, parental education, DVSS, and urinary tract infection (UTI) history.
- 269 children were enrolled: 161 controls and 108 with NE.
- Statistical analysis included Kruskal-Wallis and multivariate logistic regression.
Main Results:
- Median DVSS was significantly higher in the NE group (8 vs 2).
- 53.1% of NE children had DVSS > 8.5, compared to 0.6% in controls (P=0.01).
- UTI history (34.3% vs 15.9%, P=0.03) and paternal education level were significant factors.
Conclusions:
- Children with NE exhibit higher DVSSs, indicating potential voiding dysfunction.
- Paternal educational status and a history of UTI are significant predictors of DVSS.
- The DVSS is an effective tool for identifying abnormal voiding in children.
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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