DOI: 10.36347/sjams.2016.v04i06.061

Pages: 2167-2172

Main objective of the study was to identify lower urinary tract dysfunction (LUTD) symptoms in children aged 6-12 years by using Modified Dysfunctional Voiding Scoring System (DVSS) and the association of these symptoms with age, sex and other socio-demographic factors. It was an observational study done in 380 normal healthy children between 6-12 years of age attending pediatric OPDs of SMS Medical College jaipur in a period of one year. MODIFIED DVSS was applied in these children and their parents were interviewed. Cut off point considered as indicator of LUTD was >6 for girls and >9 for boys. Different proportions were compared with Chi-square test and Odds ratio. 92 children out of 380, had LUTD score >6 for females and >9 for males. Prevalence of LUTD was 24.2%. LUTD symptoms were more common in 6-9 years of age than the 9-12 yrs age group and the difference was significant statistically (p=0.000) (OR= 2.678, 95%CI= 1.611-4.451) .LUTD symptoms were more common in females (p= 0.018).Female sex was a risk factor for LUTD (OR= 1.662, 95% CI= 1.025-2.694). LUTD symptoms were not affected significantly by type of school, availability of separate toilet facilities in school and residential area of children (p> 0.05) Diurnal urinary incontinence, holding maneuvers, urinary urgency, voiding pain and straining were more commonly present with score 3(high symptom severity) whereas constipation and decreased urinary frequency were more commonly present with score 2 (low symptom severity).The prevalence of LUTD symptom was quite high (24.2%) in school age children. Prevalence of LUTD symptoms was high among children from lower age group and in females. LUTD symptoms must be investigated carefully at routine pediatric visits.