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Published in: Pediatric Nephrology 4/2012

01-04-2012 | Original Article

Prevalence of lower urinary tract symptoms in school-age children

Authors: Giovana T. Vaz, Monica M. Vasconcelos, Eduardo A. Oliveira, Aline L. Ferreira, Paula G. Magalhães, Fabiana M. Silva, Eleonora M. Lima

Published in: Pediatric Nephrology | Issue 4/2012

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Abstract

Epidemiological studies have demonstrated rates of incontinence and enuresis as high as 20% in school-age children. This cross-sectional study aimed to investigate the prevalence of lower urinary tract (LUT) symptoms in 739 children aged 6–12 years enrolled in three government schools with different socioeconomic levels in Minas Gerais, Brazil. Symptoms of LUT were evaluated using a modified version of the Dysfunction Voiding Scoring System in which the cutoff point considered as an indicator of LUT dysfunction is >6 for girls and >9 for boys. Children with a score indicative of symptoms received an educational booklet on the functioning of the LUT and were sent for clinical evaluation. LUT dysfunction symptoms were detected in 161 (21.8%) children. Symptoms were most frequent in girls (p < 0.001), children aged 6–8 (p < 0.028), and attended the school with the lowest social level (p < 0.001). Intestinal constipation was the most prevalent finding (30.7%), independent of LUT score. The most common urinary symptoms in children with an elevated score were diurnal urinary incontinence (30.7%), holding maneuvers (19.1%), and urinary urgency (13.7%). Stress factors were associated in 28.4% of children. Our findings suggest that LUT symptoms must be investigated carefully at routine pediatric visits.
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Metadata
Title
Prevalence of lower urinary tract symptoms in school-age children
Authors
Giovana T. Vaz
Monica M. Vasconcelos
Eduardo A. Oliveira
Aline L. Ferreira
Paula G. Magalhães
Fabiana M. Silva
Eleonora M. Lima
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
Pediatric Nephrology / Issue 4/2012
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-011-2028-1

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