One-day voiding diary in the evaluation of Lower Urinary Tract Symptoms in children.

Autor:	Franck HHM; Departamento de Cirurgia da Faculdade de Medicina - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil., Guedes ACS; Escola de Enfermagem - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil., Alvim YFS; Escola de Enfermagem - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil., de Andrade TMS; Escola de Enfermagem - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil., Oliveira LF; Escola de Fisioterapia - Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (HMTJ/SUPREMA), Juiz de Fora, MG, Brasil., da Silva LI; Departamento de Cirurgia da Faculdade de Medicina - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil., de Figueiredo AA; Departamento de Cirurgia da Faculdade de Medicina - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil., de Bessa J Jr; Departamento de Cirurgia da Faculdade de Medicina - Universidade Estadual de Feira de Santana (UEFS), Feira de Santana, BA, Brasil., Murillo Bastos J Netto; Departamento de Cirurgia da Faculdade de Medicina - Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brasil.
Jazyk:	angličtina
Zdroj:	International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2023 Jan-Feb; Vol. 49 (1), pp. 89-96.
DOI:	10.1590/S1677-5538.IBJU.2022.0375
Abstrakt:	Introduction: Voiding diary (VD) is an important tool in the evaluation of children with voiding symptoms. Voiding frequency, maximal voided volume (MVV), average voided volume (AVV) and nocturnal volume (NV) can be extracted and are valuable in diagnosing and monitoring these disorders. Recently, ICCS has reduced the period of data recording on VD from 3 to 2 days.We hypothesized that one day voiding diary would be enough for guiding treatment. Materials and Methods: Children with overactive bladder (OAB) and primary monosymptomatic enuresis (PMNE) were oriented to fulfill a 3-day VD. Data obtained from VD were evaluated for the first day (1dVD), the first two days (2dVD), and all 3 days (3dVD) and compared according to the MVV, AVV, frequency, NV and expected bladder capacity (EBC). The Friedman, Student's t test and the Fisher's exact was used. ANOVA was used for multiple comparisons. We also used Pearson correlation test. Results: Ninety-eight children were included, 59 had PMNE and 30 OAB. Frequency, AVV and VN were similar regardless how many days the voiding episodes were recorded. Only MVV was higher by a mean of only 32 mL on 3dVD compared to 1dVD. A 1dVD has a sensitivity of 93,9% and a positive likelihood ratio of 2.2. As for the correlation of MVV and EBC it was observed that in 83% of children, MVV was lower than EBC. MVV corresponds to 67% and 69% of EBC in children with PMNE and OAB, respectively. Conclusion: We believe that 1dVD is sufficient to assess these children. It has a high sensitivity and good correlation to 3dVD in evaluating these children. Bladder capacity in this population, evaluated by maximum voided volume, was close to 68% of that obtained by the EBC. Competing Interests: None declared. (Copyright® by the International Brazilian Journal of Urology.)
Databáze:	MEDLINE
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