Usefulness of a New Dysfunctional Voiding and Incontinence Scoring System in Predicting Treatment Effect in Children with Voiding Dysfunction

Abstract

Aim: To assess the role of the dysfunctional voiding and incontinence scoring system (DVAISS) in children with voiding dysfunction. Methods: Ninety-three children were divided into three groups: those who had wetting only (group 1), recurrent urinary tract infections (UTIs) and wetting (group 2) and vesicoureteral reflux together with wetting and UTIs (group 3). Individualized multiple treatments modalities were applied. The success criteria defined by the reduction in the rate of wetting described as complete response (more than 90%), partial response (50–90%), no response (less than 50%).Also, in group 3, improvement was determined as a decrease of at least two grades in reflux. Scores of patients were determined before and after treatment. Results: Complete response rates for groups 1, 2 and 3 were 67.5, 88.8 and 85.71%, respectively. The specificity of the DVAISS in predicting the complete response was 79, 88 and 100%, respectively, and its sensitivity was 100% in all groups. In group 3, improvement rate was 71.4%. The specificity and sensitivity of the DVAISS in predicting the improvement were 83 and 100%, respectively. Conclusion: The sensitivity of the DVAISS is higher in predicting the treatment effect; however, its specificity is decreased. The DVAISS may be an auxiliary diagnostic tool in voiding dysfunction patients.

Cross-Cultural Adaptation and Quantitative Evaluation of Dysfunctional Voiding and Incontinence Scoring System in Pediatric Serbian Population

“…In our study, we have noticed that a higher sensitivity for the translated DVISS SR was higher for lower scores (score of four vs. score of nine) compared to the previous study, where the proposed cut-off value was 8.5 with a sensitivity of 90% and a specificity of 90% [3]. Additionally, in another study, the cut-off value was proposed to be nine, with a sensitivity of 100% and a specificity of 79.4% [4]. However, our specificity did not differ between scores of four and nine, indicating the same level of power to predict those subjects without dysfunctional voiding.…”

“…The DVISS questionnaire is composed of 13 questions concerning voiding dysfunction and incontinence and one question regarding quality of life (Supplementary Material Table S1). The score range varied between 0 and 35 [4]. The first and the third questions were graded: 0, 1, 3 and 5; the second question was graded: 1, 3 and 5; the fourth question was graded: 1 and 4; the fifth, the seventh, the tenth and the thirteenth questions were graded: 0 and 1; the sixth was graded: 0 and 4; the eight, the ninth, the eleventh and the twelfth were graded: 0 and 2; while the fourteenth question (quality of life) was graded 0, 1, 2 and 3.…”

Dysfunctional Voiding and Incontinence Scoring System for Children and Adolescents: A Tool to Predict Clinical Course and Outcome

“…In 2005, one of the first DVAISS for children was introduced by Akbal et al 13 In a prospective study, Tuygun et al reported its efficacy in monitoring and managing children with dysfunctional voiding and confirmed the relevance of the cutoff score (8.5) as suggested by the DVAISS. 16…”

“…In 2005, one of the first DVAISS for children was introduced by Akbal et al 13 In a prospective study, Tuygun et al reported its efficacy in monitoring and managing children with dysfunctional voiding and confirmed the relevance of the cutoff score (8.5) as suggested by the DVAISS. 16 The DVAISS was selected in our clinic based on the good validation of the score with a large number of patients as well as the control group. Further, it was possible to assess the clinical course with the calculated score.…”

Urinary Tract Infections and Dysfunctional Voiding

“…Furthermore, in the female, a thorough inspection for vaginal wall prolapse should be always made, since they could account for obstructive symptoms, even in initial cases (Dancz & Ozel, 2011). For pediatric patients also several questionnaires have been developed to assess voiding dysfunction (Tuygun et al, 2007). The most accepted is represented by the standardized dysfunctional voiding symptom score (DVSS) (Farhat et al, 2000).…”