Bladder bowel dysfunction scoring system (BBDSS): A novel, illustrated questionnaire for evaluation of voiding...

Area of Science:

• Pediatric Urology
• Clinical Assessment Tools
• Voiding Dysfunction

Background:

• Overactive bladder (OAB) and bladder bowel dysfunction (BBD) are common conditions in children.
• Accurate assessment tools are crucial for diagnosis and management.
• The Bladder Bowel Dysfunction Symptom Score (BBDSS) is a novel, illustrated questionnaire designed for OAB and BBD assessment.

Purpose of the Study:

• To evaluate the reliability and validity of the new Bladder Bowel Dysfunction Symptom Score (BBDSS) questionnaire.
• To determine the BBDSS's effectiveness in assessing overactive bladder (OAB) and bladder bowel dysfunction (BBD) in pediatric patients.

Main Methods:

• A pilot study administered the 12-question BBDSS to 92 children (44 with symptoms, 48 healthy controls).
• The questionnaire assesses bladder and bowel symptoms with severity scores.
• Patients were prospectively recruited from a voiding dysfunction clinic; controls were healthy children.

Main Results:

• The BBDSS showed a significant difference between affected and control groups (mean scores 8.7 vs. 1.19, p<0.001).
• High correlation (r=0.88) and excellent diagnostic accuracy (AUC=0.98) were observed.
• The BBDSS effectively differentiated OAB from BBD (AUC=0.89 for defecation component).

Conclusions:

• The BBDSS is a reliable and valid instrument for diagnosing pediatric voiding dysfunction.
• The questionnaire is easily completed by parents or children.
• The BBDSS can successfully differentiate between OAB and BBD.