Voiding Dysfunction in Children: Correlation Between Urodynamic Findings and Clinical Symptoms
Keywords:
voiding dysfunction, children, urodynamic studies, incontinence, detrusor activityAbstract
Background: Voiding dysfunction in various children is one of the common pediatric urological conditions characterized by abnormal urination patterns, which often leads to significant psychosocial and medical consequences.
Objective: This study examines the correlation among scientific signs and urodynamic findings in children diagnosed with voiding dysfunction.
Methods: A cross-sectional observational study was carried out concerning 120 children aged four to 12 years. Clinical signs were assessed using standardized questionnaires and bladder diaries. Urodynamic research has been conducted and outcomes have been statistically analyzed for correlation.
Results: Significant correlations have been determined among daytime incontinence and detrusor overactivity (p < 0.01), in addition to between post-void residual urine and detrusor contractility (p < 0.05). Nocturnal enuresis showed poor correlation with urodynamic findings.
Conclusion: While certain clinical symptoms, such as daytime incontinence and urgency closely correlate with specific urodynamic findings, others like nocturnal enuresis do not. Urodynamic testing remains essential in confirming diagnosis and guiding treatment in pediatric voiding dysfunction
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Al-Najar A., Basabih S., Al-Saqqaf A., Alnadhari I., Al-Kohlany K., 2021. Can Pediatric Lower Urinary Tract Symptom Score Predict Urodynamic Findings? Archives of Nephrology and Urology, 4(2), pp.84-92.
Demirkan H. A., Kuzdan M.O., 2022. Comparison of the Urodynamic Patterns of the Disorders Frequently Encountered in the Field of Pediatric Urology.
Eis O.A.F., Ito H.N., de Oliveira Otávio J., de Oliveira Filho D.J., Lima E.M., de Bessa Jr J., da Silva P.L.L., de Almeida Vasconcelos M.M., de Carvalho Mrad, F.C., 2025. Clinical and urodynamic findings in kids and teenagers with neurogenic bladder after augmentation cystoplasty: a scientific evaluation. Pediatric Nephrology, 40(2), pp.355-365.
Ellison J.S., Nicholls G., Woodward M., 2021. Urodynamics in Children. Abrams’ Urodynamics, pp.227-241.
Frunda E.A., Osan V.G., Stoica B., 2023. The Importance of PLUTSS (Pediatric Lower Urinary Tract Symptoms Score) within the Diagnostic Evaluation of Children's LUTS. Romanian Journal of Urology, 22(4), pp.41-45.
Hobbs K.T., Krischak M., Tejwani R., Purves J.T., Wiener J.S. , Routh, J.C., 2021. The significance of early prognosis and management of pediatric neurogenic bladder dysfunction. Research and Reviews in Urology, pp.647-657.
Jiang W., Sun H., Gu B., Zhan Q., Wei M., Li S., Chen F., Xiao B., 2022. Urodynamic findings and related influential factors in pediatric spastic cerebral palsy. Scientific Reports, 12(1), p.6962.
Kopač M., 2024. Pediatric Lower Urinary Tract Dysfunction: A Comprehensive Exploration of Clinical Implications and Diagnostic Strategies. Biomedicines, 12(5), p.945.
Lusnia C., DeMarco R., Sharadin C., 2025. Pediatric Voiding Dysfunction: Definitions and Management. Medicina, 61(4), p.594.
Marantidis J., Sussman, R.D., 2024. How to Diagnose Dysfunctional Voiding. Current Bladder Dysfunction Reports, 19(1), pp.76-82.
March-Villalba J.A., Salazar A.L., Magraner G.R., Durbá A.S., Escribá M.V., Checa M.O., Hinarejos, C.D., Tormo, F.B., 2021. Analysis of pain belief related to urodynamic testing in youngsters over 3 years age. Actas Urológicas Españolas (English Edition), 45(3), pp.232-238.
Milivojevic S., Zelenovic A., Milin-Lazovic J., Radojicic O., Laketic D., Dasic I., Milic N. And Radojicic Z., 2022. The correlation between the transverse rectal diameter and urodynamic findings in kids with neurogenic bowel and bladder dysfunction. Frontiers in Pediatrics, 10, p.957123.
Özen M.A., Taşdemir M., Aygün M.S., Necef I., Aydın E., Bilge I., Eroğlu E., 2021. Is there a unique symptom in lower urinary tract dysfunction in youngsters?. LUTS: Lower Urinary Tract Symptoms, 13(2), pp.264-270.
Peng C.H., Chen S.F. And Kuo H.C., 2022. Long-Term Follow-Up of Lower Urinary Tract Outcome in Children with Dysfunctional Voiding. Journal of Clinical Medicine, eleven(24), p.7395.
Rivera K.C., Rickard M., Varghese A., Chua, M.E., Lorenzo, A. And Santos, J.D., 2024. Bladder and Bowel disorder: an up to date manual for the pediatrician and pediatric nephrologist. Current Pediatrics Reports, 12(four), pp.199-209.
Sadeghi M., Oskouie I.M., Naserghandi A., Arvin A., Zolbin M., 2025. Exploring dysfunctional voiding in girls: a comprehensive literature evaluation of evaluation and control strategies. BMC urology, 25(1), pp.1-12.
Selvi I., Dönmez M.İ., Ziylan O., Oktar T., 2022. Urodynamically confirmed decreased urinary tract dysfunction in children after COVID‐19: A case collection. LUTS: Lower Urinary Tract Symptoms, 14(four), pp.301-304.
Uğurlu D., Canmemiş A., İşman F.K., Alataş İ., Durakbaşa Ç.U., Özel Ş.K., 2025. The dating between urodynamic bladder compliance and urinary fibrosis markers in youngsters with neurogenic bladder dysfunction. Journal of Pediatric Urology, 21(1), pp.93-one hundred.
Van Galen M., Huskens B., Tak B., von Gontard A., Didden R., 2025. Sleep‐Related Breathing Disorders and Lower Urinary Tract Dysfunction in Children and Adolescents: A Scoping Review. Neurourology and Urodynamics.
Viswanathan V., Comprehensive Urodynamic Assessment inside the Management of Pediatric Lower Urinary Tract Dysfunction.
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