ESPN 50th Annual Meeting

ESPN 2017


 
Association of voiding dysfunction and asthma in children
Ilke Beyitler 1 Ali Ulvi Onder 2 Nerin Bahceciler 3 Ozgur Tosun 4 Ceren Susan 5 Salih Kavukcu 1

1- Department of Pediatric Nephrology, Faculty of Medicine, Near East University, Nicosia, North Cyprus
2- Department of Urology, Faculty of Medicine, Near East University, Nicosia, North Cyprus
3- Department of Pediatric Allergy and Immunology, Faculty of Medicine, Near East University, Nicosia, North Cyprus
4- Department of Biostatistics, Faculty of Medicine, Near East University, Nicosia, North Cyprus
5- Student of Faculty of Medicine, Near East University, Nicosia, North Cyprus
 
Introduction:

 Voiding dysfunction is a common problem in pediatric practice and is defined for children with voiding symptoms or urinary incontinence. Asthma is a chronic recurrent inflammatory disease in which dyspnea and chronic cough are defined to be associated with increase in voiding dysfunction in childhood. 

Material and methods:

 Parents of 252 children between 5 – 15 years age group  followed by the Pediatrics outpatient clinic in our hospital were asked to complete  questionnares of International Study of Asthma and Allergies in Childhood (ISAAC) for asthma and dysfunctional voiding and Incontinence Scoring System (DVISS). Children with neurological or urological diseases were excluded. 

Results:

 Voiding dysfunction was found in 14.7 % of  children and according to age groups 81.1 % was in 5 – 10 year age group while 18.9 % was in 11 – 15 years age group (p=0.001). There was no difference between girls and boys. Voiding dysfunction had a positive correlation with asthma symptoms (p=0.00). Children with dysfunctional voiding had higher history of wheezing at some point in life (p=0.009), higher rates of current wheezing (p=0.002), higher doctor diagnosed asthma (p=0.02) and higher exercise related wheezing in the last 12 months (p=0.01). 

Conclusions:

 Asthma and symptoms related with asthma are associated with higher dysfunctional voiding scores in children. It is important to evaluate enuretic children for asthma symptoms in order to improve outcome of both entities and avoid long term morbidities.