Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?

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 diff...

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Main Authors: Mesrur Selcuk Silay, Ahmet Ruknettin Aslan, Erim Erdem, Zafer Tandogdu, Serdar Tekgul
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/341606
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author Mesrur Selcuk Silay
Ahmet Ruknettin Aslan
Erim Erdem
Zafer Tandogdu
Serdar Tekgul
author_facet Mesrur Selcuk Silay
Ahmet Ruknettin Aslan
Erim Erdem
Zafer Tandogdu
Serdar Tekgul
author_sort Mesrur Selcuk Silay
collection DOAJ
description 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.
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spelling doaj-art-051a8baafad6424896b995dd2278d9682025-02-03T05:59:37ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/341606341606Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?Mesrur Selcuk Silay0Ahmet Ruknettin Aslan1Erim Erdem2Zafer Tandogdu3Serdar Tekgul4Department of Urology, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvarı, Fatih 34093, Istanbul, TurkeyDepartment of Urology, Haydarpasa Numune Training and Research Hospital, Tıbbiye Caddesi, No. 40, Istanbul, TurkeyDepartment of Urology, Faculty of Medicine, Mersin University, 33343 Mersin, TurkeyDepartment of Urology, Mardin State Hospital, Vali Ozan Caddesi, Mardin Merkez, Mardin, TurkeyDepartment of Urology, Faculty of Medicine, Hacettepe University, Sıhhiye, 06100 Ankara, TurkeyObjective. 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.http://dx.doi.org/10.1155/2013/341606
spellingShingle Mesrur Selcuk Silay
Ahmet Ruknettin Aslan
Erim Erdem
Zafer Tandogdu
Serdar Tekgul
Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?
The Scientific World Journal
title Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?
title_full Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?
title_fullStr Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?
title_full_unstemmed Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?
title_short Evaluation of Functional Lower Urinary Tract Dysfunction in Children: Are the Physicians Complying with the Current Guidelines?
title_sort evaluation of functional lower urinary tract dysfunction in children are the physicians complying with the current guidelines
url http://dx.doi.org/10.1155/2013/341606
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