To compare dysfunctional voiding symptom scores (DVSSs) between enuretic children and nonenuretic controls and
to investigate associated factors that may affect DVSS.
Materials and methods:
A questionnaire including demographic features, educational status of parents, DVSS questions, and urinary
tract infection (UTI) history was designed. A total of 269 patients were included; Group 1 comprised 161 patients with no voiding
symptoms and Group 2 comprised 108 patients with nocturnal enuresis (NE). Children with DVSS of greater than 8.5 were suspected
to have dysfunctional voiding. The results were evaluated using SPSS 15.0 with Kruskal–Wallis and multivariate logistic regression tests.
The median DVSS was 2 (interquartile range [IQR]: 1–3) in Group 1 and 8 (IQR: 5–12) in Group 2. The percentage of children
with DVSS greater than 8.5 was 0.6% in Group 1 and 53.1% in Group 2 (P = 0.01). The percentage of children with UTI history was
significantly higher in Group 2 (34.3%) than Group 1 (15.9%) (P = 0.03). An increase in the educational level of the father decreased
DVSS by 0.5-fold. Presence of UTI history increased DVSS 2.5-fold.
The DVSS is a rapid, easy tool for determining abnormal voiding parameters in children. Children with NE had higher
DVSSs, which was significantly affected by the father’s educational status and the child’s UTI history.