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S21: LUT DYSFUNCTION
Moderators: Paul Austin (USA), Anju Goyal (UK)
ESPU Meeting on Saturday 17, October 2015, 08:15 - 09:03
08:15 - 08:18
S21-1
(PP)
★
COMPARISON OF THREE SYMPTOM SCORING SYSTEMS IN EVALUATION OF
LOWER URINARY TRACT DYSFUNCTION (LUTD) IN CHILDREN
Mesut ALTAN, Burak CITAMAK, Ali Cansu BOZACI, Hasan Serkan DOGAN and Serdar TEKGUL
Hacettepe University, Urology, Ankara, TURKEY
PURPOSE
To investigate diagnostic properties of 3 different scoring systems [Dysfunctional Voiding Symptom Score (DVSS),
Dysfunctional Voiding and Incontinence Symptoms Score (DVISS), Incontinence Symptom Index-Pediatric (ISI-P, for
children older than 11 years)] which are used to evaluate lower urinary tract symptoms in pediatric population.
MATERIAL AND METHODS
Eighty-four participants were evaluated by detailed history, physical examination, 3 different scoring systems (DVSS,
DVISS, ISI-P), ultrasonography and uroflowmetry. Depending on the tests, cases were stratified as healthy or LUTD by
2 urologists who were blinded to the questionnaires. Patients were re-evaluated by the same tests and questionnaires 1-
3 months after treatment. Diagnostic properties of questionnaires were calculated. Additionally, parents were asked to
scale the improvement of symptoms subjectively from 0 to 100% in order to correlate to each three scoring systems.
RESULTS
Mean age of normal and LUTD groups were 9.1±2.6 years and 10.1±2.8 years respectively (p=0.301) . Gender
(male/female) distribution was 21/21 in LUTD group and 25/17 in control group (p=0.381). In terms of diagnosis,
DVISS has the highest accuracy (sensitivity:81%,spesificity:97,6%,accuracy:89%) followed by ISIP (sensitivity:55.6%,
specificity:100%, accuracy:82%) and DVSS (sensitivity:54.8%, specificity: 97,6%, accuracy:76%). The similar order
was valid for the 23 patients older than 11 years (accuracy for DVISS:87%, ISIP:82%, DVSS:78%). In terms of
response to treatment, all three tests showed good correlation with parents’ rating (DVSS:p<0.001, DVISS:p=0.005,
ISIP:p=0.042).
CONCLUSIONS
Although, DVISS had the highest accuracy in distinguishing the patients from healthy controls, all three questionnaires
seem to be equivalent for the evaluation of response to treatment.