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Voiding disorders among children and adolescents: surveillance after ‘voiding school’ treatment
Author(s) -
Mohn Jannike,
Bakke August,
Rokne Berit
Publication year - 2010
Publication title -
international journal of urological nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.184
H-Index - 8
eISSN - 1749-771X
pISSN - 1749-7701
DOI - 10.1111/j.1749-771x.2010.01085.x
Subject(s) - medicine , quality of life (healthcare) , pediatrics , urinary system , attendance , lower urinary tract symptoms , urinary incontinence , surgery , prostate , nursing , cancer , economics , economic growth
The purpose of this study was to evaluate children's lower urinary tract symptoms (LUTS) and health‐related quality of life (HR‐QoL) 1–6 years after treatment at voiding school. One to six years after the end of treatment for non‐neurogenic voiding disorders, 108 children were contacted (36% girls, current age 8–18 years). The study was conducted in two parts: data were retrospectively collected from the (i) children's medical records to determine their symptoms at the first consultation and (ii) children's current self‐report via two different questionnaires, a voiding‐related symptom questionnaire and a HR‐QoL questionnaire (KINDL N ). Fifty‐two children agreed to take part in the study: 17 girls and 35 boys, mean age 12·8 years (SD ± 2·76), median age 13·0 years. At first consultation, 58% of the children suffered from day and night incontinence (DNI), 75% from urgency and 87% from infrequent voiding. Ultrasound showed that 73% had incomplete bladder emptying. No statistically significant sex‐based differences were observed, except that girls more often reported urinary tract infections ( P = 0·011). After treatment, 47% of children reported resolution, 39% significant improvement, 12% no improvement and 2% ‘don't know’. DNI was reported by 14%, urgency by 18% and infrequent voiding by 45%. There were no statistically significant correlations between the children's degree of current symptoms and their perceived HR‐QoL. The children reported fewer symptoms after treatment, indicating that attendance at voiding school might be a successful treatment modality. However, the design of the present study does not allow any conclusion to be drawn regarding cause and effect.