Assessment of Voiding Dysfunction and Nocturnal Enuresis Rates in Primary School Children in an Anatolian City with a Validated Dysfunctional Voiding Scoring System Questionnaire

Objective: To investigate the prevalence of voiding dysfunction (VD) and nocturnal enuresis (NE) in Turkish primary school children using a previously validated Dysfunctional Voiding Scoring System (DVSS) questionnaire and a self-administered questionnaire. Materials and Methods: The previously validated DVSS questionnaire was completed by the parents of 3015 randomly selected children. Another questionnaire was also administered for studying VD and NE rates, demographic characteristics, and learning or behavioral problems of children. Results: Of all children, 6.6% (n=199) had a score suggesting VD and 6.1% (n=185) had NE. No significant differences were found between children with and without VD in terms of age, gender, and fluid intake. Children with VD had significantly high rates of constipation (19.7% vs 5.2%; p

Bir Anadolu Şehrinde Valide Edilmiş İşeme Sorgulama Sistemi ile İlkokul Çağı Çocuklarındaki İşeme Bozuklukları ve Enürezis Oranının Belirlenmesi

Amaç: Karaman il merkezindeki ilkokul çağı çocuklarındaki işeme bozukluğu (İB) prevalansının çocukluk çağı İB’leri Semptom Skoru (İBSS) sorgulama formu ile incelenmesi ve noktunal enürezis (NE) belirlenmesi amaçlandı. Gereç ve Yöntem: İBSS formu, 21 farklı okuldan basit örnekleme ile belirlenmiş 3015 ilkokul çağı çocuğun ebeveynleri tarafından dolduruldu. İBSS 9 ve üzeri İB varlığı olarak temel alındı. Ayrı bir anket formu ile çocukların NE, kapsamlı demografik durumları, öğrenme ve davranış bozuklukları sorgulandı. Bulgular: Çocukların %6,6‘sında İB düşündüren yüksek skor saptanırken, %6,1’inde NE saptandı. İB olan ve olmayan çocuklar arasında yaş, cinsiyet ve sıvı alımı açısından fark saptanmadı. İB olan çocuklarda anlamlı olarak daha yüksek oranda kabızlık ve iç çamaşırın dışkı ile kirlenmesi raporlandı. İBSS sorgulamasına göre İB düşünülen çocuklarda daha fazla davranış problemleri veya psikolojik problemler ile öğrenme güçlüğü bildirildi. Anne eğitim düzeyi ve okul tipi (devlet veya özel) açısından İB ile korelasyon saptanmadı. Sonuç: Erken çocukluk döneminde İB ve NE oranı yüksek olup çocukların psikolojik ve öğrenme durumunu negatif olarak etkileyebilmektedir.

Kaynakça

Ramakrishnan K. Evaluation and treatment of enuresis. Am Fam Physician 2008;78:489-496.

Neveus T, von Gontard A, Hoebeke P, Hjalmas K, Bauer S, Bower W, Jorgensen TM, Rittig S, Walle JV, Yeung CK, Djurhuus JC. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. J Urol 2006;176:314-324.

Akbal C, Genc Y, Burgu B, Ozden E, Tekgul S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol 2005;173:969-973.

Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H. Urinary incontinence in children. Dtsch Arztebl Int 2011;108:613-620.

Nevéus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, Jørgensen TM, Rittig S, Walle JV, Yeung CK, Djurhuus JC. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. J Urol 2006;176:314-324.

Franco I. Overactive bladder in children. Part 2: Management. J Urol 2007;178:769-774.

Carman KB, Ceran O, Kaya C, Nuhoglu C, Karaman MI. Nocturnal enuresis in Turkey: prevalence and accompanying factors in different socioeconomic environments. Urol Int 2008;80:362-366.

Ozkan S, Durukan E, Iseri E, Gürocak S, Maral I, Ali Bumin M. Prevalence and risk factors of monosymptomatic nocturnal enuresis in Turkish children. Indian J Urol 2010;26:200-205.

Sarici H, Telli O, Ozgur BC, Demirbas A, Ozgur S, Karagoz MA. Prevalence of nocturnal enuresis and its influence on quality of life in school-aged children. J Pediatr Urol 2016;12:159.

Doganer YC, Aydogan U, Ongel K, Sari O, Koc B, Saglam K. The Prevalence and Sociodemographic Risk Factors of Enuresis Nocturna among Elementary School-age Children. J Family Med Prim Care 2015;4:39-44.

Sureshkumar P, Caldwell PH, Craig JC. Diagnosing daytime bladder symptoms in children with nocturnal enuresis: a comparison of brief parental questionnaire with in-depth, physician-elicited, assessment. J Paediatr Child Health 2010;46:636-641.

Farhat W, Bagli DJ, Capolicchio G, O’Reilly S, Merguerian PA, Khoury A, McLorie GA. The dysfunctional voiding scoring system: quantitative standardization of dysfunctional voiding symptoms in children. J Urol 2000;164:1011-1015.

van Gool JD, Hjalmas K, Tamminen-Mobius T, Olbing H. Historical clues to the complex of dysfunctional voiding, urinary tract infection and vesicoureteral reflux. The International Reflux Study in Children. J Urol 1992;148:1699-1702.

Akbal C, Sahan A, Sener TE, Sahin B, Tinay I, Tarcan T, Simsek F. Diagnostic value of the pediatric lower urinary tract symptom score in children with overactive bladder. World J Urol 2014;32:201-208.

Yüksel S, Yurdakul AÇ, Zencir M, Çördük N. Evaluation of lower urinary tract dysfunction in Turkish primary schoolchildren: an epidemiological study. J Pediatr Urol 2014;10:1181-1186.

Bolat D, Acar IC, Zumrutbas AE, Eskicorapci S, Sancak EB, Zencir M, Turan T, Sinik Z. Prevalence of daytime urinary incontinence and related risk factors in primary school children in Turkey. Korean J Urol 2014;55:213-218.

Vaz GT, Vasconcelos MM, Oliveira EA, Ferreira AL, Magalhaes PG, Silva FM, Lima EM. Prevalence of lower urinary tract symptoms in school-age children. Pediatr Nephrol 2012;27:597-603.

Bakker E, van Sprundel M, van der Auwera JC, van Gool JD, Wyndaele JJ. Voiding habits and wetting in a population of 4,332 Belgian schoolchildren aged between 10 and 14 years. Scand J Urol Nephrol 2002;36:354-362.

Sureshkumar P, Craig JC, Roy LP, Knight JF. Daytime urinary incontinence in primary school children: a population-based survey. J Pediatr 2000;137:814- 818.

Bower WF, Moore KH, Shepherd RB, Adams RD. The epidemiology of childhood enuresis in Australia. Br J Urol 1996;78:602-606.

Kajiwara M, Inoue K, Usui A, Kurihara M, Usui T. The micturition habits and prevalence of daytime urinary incontinence in Japanese primary school children. J Urol 2004;171:403-407.

Lee SD, Sohn DW, Lee JZ, Park NC, Chung MK. An epidemiological study of enuresis in Korean children. BJU Int 2000;85:869-873.

Toktamis A, Demirel Y, Ozkan KU, Garipardiç M, Gözükücük A, Nur N. Prevalence and associated factors of day wetting and combined day and night wetting. Urol Int 2008;81:54-59.

Serel TA, Akhan G, Koyuncuoglu HR, Oztürk A, Doğruer K, Unal S, Celik K. Epidemiology of enuresis in Turkish children. Scand J Urol Nephrol 1997;31:537-539.

Oge O, Kocak I, Gemalmaz H. Enuresis: point prevalence and associated factors among Turkish children. Turk J Pediatr 2001;43:38-43.

Ozkan KU, Garipardic M, Toktamis A, Karabiber H, Sahinkanat T. Enuresis prevalence and accompanying factors in schoolchildren: a questionnaire study from southeast Anatolia. Urol Int 2004;73:149-155.

Uğuralp S, Karaoğlu L, Karaman A, Demircan M, Yakinci C. Frequency of enuresis, constipation and enuresis association with constipation in a group of school children aged 5-9 years in Malatya, Turkey. Turk J Med Sci 2003;33:315-320.

Mota DM, Victora CG, Hallal PC. [Investigation of voiding dysfunction in a population-based sample of children aged 3 to nine years]. J Pediatr (Rio J) 2005;81:225-232.

Chung JM, Lee SD, Kang DI, Kwon DD, Kim KS, Kim SY, Kim HG, Moon du G, Park KH, Park YH, Pai KS, Suh HJ, Lee JW, Cho WY, Ha TS, Han SW; Korean Enuresis Association. An epidemiologic study of voiding and bowel habits in Korean children: a nationwide multicenter study. Urology 2010;76:215-219.

Ozden C, Ozdal OL, Altinova S, Oguzulgen I, Urgancioglu G, Memis A. Prevalence and associated factors of enuresis in Turkish children. Int Braz J Urol 2007;33:216-222.

Gür E, Turhan P, Can G, Akkus S, Sever L, Guzelöz S, Cifcili S, Arvas A. Enuresis: prevalence, risk factors and urinary pathology among school children in Istanbul, Turkey. Pediatr Int 2004;46:58-63.

Dirim A, Aygün YC, Bilgilisoy UT, Durukan E. Prevalence and associated factors of daytime lower urinary tract dysfunction in students of two primary schools of turkey with different socioeconomic status. Turkiye Klinikleri J Urol 2011;2:1-6.

Afshar K, Mirbagheri A, Scott H, MacNeily AE. Development of a symptom score for dysfunctional elimination syndrome. J Urol 2009;182(4 Suppl):1939-1943.

Uluocak N, Oktar T, Acar O, Incesu O, Ziylan O, Erkorkmaz U. Positional changes in voiding dynamics of children with non-neurogenic bladder dysfunction. Urology 2008;72:530-534.

Furtado PS, Lordelo P, Minas D, Menezes J, Veiga ML, Barroso U Jr. The influence of positioning in urination: an electromyographic and uroflowmetric evaluation. J Pediatr Urol 2014;10:1070-1075.

Koff SA, Wagner TT, Jayanthi VR. The relationship among dysfunctional elimination syndromes, primary vesicoureteral reflux and urinary tract infections in children. J Urol 1998;160:1019-1022.

Söderstrom U, Hoelcke M, Alenius L, Söderling AC, Hjern A. Urinary and faecal incontinence: a population-based study. Acta Paediatr 2004;93:386- 389.

Loening-Baucke V. Prevalence rates for constipation and faecal and urinary incontinence. Arch Dis Child 2007;92:486-489.

Franco I. Neuropsychiatric disorders and voiding problems in children. Curr Urol Rep 2011;12:158-165.

Van Herzeele C, Dhondt K, Roels SP, Raes A, Groen LA, Hoebeke P, Walle JV. Neuropsychological functioning related to specific characteristics of nocturnal enuresis. J Pediatr Urol 2015;11:208.

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