Abstract
Introduction Lower urinary tract symptoms (LUTS) in children are common. In 2005, Akbal et al
published the dysfunctional voiding and incontinence scoring system (DVAISS) to assess
patient's symptoms. Our study aimed to determine the value of this scoring system
for predicting the severity and clinical course of voiding abnormalities in children
and adolescents.
Material and Methods Patients' symptoms were scored using the DVAISS in children and adolescents with
LUTS presenting for the first time to our pediatric urology department between January
2010 and December 2015. We correlated the calculated score with voiding volume, clinical
course, and outcome.
Results A total of 168 patients (113 boys, 55 girls; age 5–18 years) with isolated LUTS were
included. In 53 patients (group 1), the DVAISS score was less than or equal to 8.5
and in the other 115 patients (group 2), the score was greater than 8.5 suggestive
for relevant voiding abnormalities. Patients in group 1 showed a significantly higher
average voiding volume (200 vs. 110 mL, p = 0.001). The median time for symptom resolution was significantly higher in group
2 than group 1 (14 vs. 8 months; p = 0.018). The severity of LUTS could be determined by these parameters.
Conclusion Based on the DVAISS, a prediction of the clinical course and approximate treatment
duration is possible. Therefore, the DVAISS is useful to assess LUTS in children and
is also a valuable tool in rating the severity of the disease. It is also a quite
precise predictor of the time needed to resolve the symptoms.
Keywords
scoring system - children - incontinence - lower urinary tract symptoms - bladder
bowel dysfunction
