Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?. (22nd April 2013)

• Record Type: Journal Article
• Authors: Silay, Mesrur Selcuk; Aslan, Ahmet Ruknettin; Erdem, Erim; Tandogdu, Zafer; Tekgul, Serdar
• Other Names: Djurhuus Jens Christian Academic Editor.; Montini Giovanni Academic Editor.
• Is Part Of: TheScientificWorldjournal. Volume 2013(2013)
• Publication Date: 2013-04-22
• Subjects: Science -- Periodicals; Technology -- Periodicals; Medicine -- Periodicals; 505
• DOI: 10.1155/2013/341606
• Languages: English
• ISSNs: 2356-6140

Abstract

Abstract : Objective . To elucidate whether the diagnostic and treatment approaches of the physicians for functional lower urinary tract dysfunction (LUTD) in children is complying with the current guidelines. Material and Methods . We have conducted an internet-based national survey for the physicians from different departments randomly sampled from the database of Turkish Paediatric Urology Society. Participants were asked to answer two-page questionnaire consisting of 4 main sections: "demography, " "working conditions, " "daily practice, " and "scientific knowledge." Kruskal Wallis and multiple logistic regression were used for statistical analyses. Results . Of the 117 departments a total of 93 have completed the survey (n : 58 urology; n : 35 paediatric nephrology). Routine use of a questionnaire with validated symptom scoring system was found to be 13.9%. Of the participants, only 38.7% were asking all of the patients to fill the bladder diary. During treatment, only 24.7% were applying standard urotherapy for every patient. Almost half of the clinicians (45.1%) believed that they were personally insufficient during the evaluation of those children. Finally, 86% reported that children with LUTD were not adequately approached. Conclusions . Evaluation of LUTD in children is not complying with the current guidelines. General approach for those children needs to be revisited by the clinicians.