Evaluation of Voiding Dysfunction and Response to Standard Uroterapy in Children with Recurrent Urinary Tract Infections

Objective: Urinary tract infection (UTI) is one of the most common bacterial infections of children. The aims of this study were to evaluate voiding disfunction, and the effect of standart uroteraphy on the symptoms of disfunctional voiding in children with recurrent urinary tract infection. Material and Methods: Between March 2006 and June 2008, 99 patients aged ≥4 years who had UTI at least twice in a year were evaluated. The cases were assessed by uroflowmetry and dysfunctional voiding symptom score (DVSS). 68 patients with voiding dysfunction administered standard urotherapy. These patients were reevaluated for symptoms of voiding dysfunction at the end of six month - standart urotherapy. Results: Ninety-six (98%) of the 98 patients were female, mean age was 9.9±3.95 years. DVSS was ≥8.5 in 68 (72%) patients. Constipation was found in 48 patients (49%). 86 of 46 patients (54%) had high residual urine volume (>20 ml). Uroflowmetric examinations were performed in 86 patients. 40 patients (47%) had bell, 21 patients (22%) had staccato, 20 patients (21%) had fractioned, 1 patient (1%) tower, 4 patients (4%) had plateau shaped voiding curve. 68 patients with high DVSS underwent standard urotherapy. At the end of six month- standart urotherapy, the DVS score was ≤ 8.5 in 35 patients. Complete recovery was found in 68% of diurnal enuresis, 58% in nocturnal enuresis, 84% in intermittent incontinence, 91% in feeling of incomplete urination and re-voiding. Conclusion: DVSS and uroflowmetry are practical methods for defining voiding dysfunction. Standard urotherapy is an effective treatment technique for the recovery of symptoms of voiding dysfunction