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Concised Form for Lower Urinary Tract Dysfunction Symptom Scale in Children
Turgay Ebiloglu1, Engin Kaya2, Burak Kopru3
1Specialist, Deparment of Urology, Etimesgut Military Hospital , Ankara, Turkey .
Journal of Clinical and Diagnostic Research : JCDR
|September 16, 2016
Summary
A simplified Lower Urinary Tract Dysfunction Symptom Scale (LUTDSS) using four key questions can effectively diagnose and monitor pediatric LUTD. This approach aids in identifying children with daytime incontinence, enuresis, hesitancy, and urgency.
Area of Science:
- Pediatric Urology
- Diagnostic Tools
- Lower Urinary Tract Dysfunction
Background:
- Symptom Scales (SS) are crucial for evaluating and monitoring various illnesses.
- The Lower Urinary Tract Dysfunction Symptom Scale (LUTDSS) specifically assesses pediatric Lower Urinary Tract Dysfunction (LUTD).
Purpose of the Study:
- To identify the most significant questions for diagnosing pediatric LUTD.
- To develop a simplified SS for pediatric LUTD diagnosis and follow-up.
Main Methods:
- A cohort of 631 children aged 5-15 years was studied from 2005-2015.
- Children with active UTIs were excluded; control (n=263) and LUTD (n=357) groups were established based on LUTDSS scores and further validated.
- LUTD diagnoses were confirmed using 3-day bladder diaries and Uroflow-EMG-PVR tests.
Main Results:
- Daytime incontinence (Q1), enuresis (Q3), hesitancy (Q8), and urgency (Q10) were significantly associated with LUTD.
- Children exhibiting these symptoms were 47.7 to 59.5 times more likely to have LUTD.
- A simplified scale using these four questions demonstrated an 86.4% area under the ROC curve.
Conclusions:
- A concise four-question scale (Q1, Q3, Q8, Q10) is effective for diagnosing pediatric LUTD.
- This simplified SS can be utilized for both diagnosis and monitoring of LUTD in children.
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