Study of symptoms in patients with voiding dysfunction and their response to treatment

Background: Voiding dysfunction is a problem due to mal toilet training in urination. The prevalence is approximately 10-15% . The clinical manifestations are frequency, dysuria, incontinence, enuresis and infrequency with constipation.
Methods: In this study in 70 children aged 3-12 years old with urinary symptoms of voiding dysfunction were studied the Dysfunctional Voiding Scoring System (DVSS) chart was filled. After one to three months of treatment for the urinary and gastroenterological symptoms, the results of acquired scored before and after treatment were compared.
Findings: Among 70 children 78.6% were female and 21.4% were male. 45.7% were enuretic, 61.4% had a history of urinary tract infection and 75.7% had chronic constipation. The acquired score after treatment was significantly better than before treatment (P= 0.000).
Conclusions: DVSS is a practical method for diagnosis, grading and evaluation of voiding dysfunction. It seems logical that the first step for management of V.D is medical therapy and urodynamic studies should be restricted to resistent or recurrent cases.

Keywords
Voiding dysfunction , Urinary tract infection , Enuresis , Constipation , Dysfunctional voiding scoring system (DVSS)