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J Urol. 2001 Dec;166(6):2411-5.

A novel clinical evaluation of childhood incontinence and urinary urgency.

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  • 1Children's Hospital Westmead, Sydney, St. George Hospital, University of New South Wales and School of Physiotherapy, University of Sydney, Sydney, Australia.

Abstract

PURPOSE:

There are few clinic based objective tools for the evaluation of urinary urgency and incontinence in children. We report on the known method of frequency volume chart, and describe 2 new tools to determine their effectiveness and reliability.

MATERIALS AND METHODS:

The mean and standard deviation values for affected children in each age group from 5 to 12 years were calculated from 321 consecutive frequency volume charts. Two new child-based scoring tools quantifying urinary urgency were developed to measure the sensation of urgency and the intensity of response at urge (visual analog score 1 and 2). These tools were tested for reliability. As the quantification of incontinence is problematic in children, a new system of documenting functional severity of leakage per day was designed (Dry Pie) and also tested for reliability.

RESULTS:

Age related mean bladder storage volumes and standard deviations were established for children with incontinence. The novel urgency visual analog measure proved reliable, although only scale 2 would be useful in clinical practice. The incontinence Dry Pie diary was also shown to be reliable for 2 weeks and easily completed at home by the children.

CONCLUSIONS:

As a result of this study clinic based intervention can include reliable quantification of urinary urgency (visual analog scale 2) and a functional measure of the severity of incontinence (Dry Pie).

PMID:
11696800
[PubMed - indexed for MEDLINE]
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