Can Pediatric Lower Urinary Tract Symptom Score Predicts Urodynamic Findings?

Author(s): Amr Al-Najar, Sami Basabih, Akram Al-Saqqaf, Ibrahim Alnadhari, Khaled Al-Kohlany

Purpose: The aim of this work was to record and correlate pediatric lower urinary tract symptom score (PLUTSs) with urodynamic parameters.

Materials and Methods: PLUTSs was recorded from 30 patients who were referred for urodynamic evaluation. All patients underwent urine analysis, urine culture, sonography, voiding cystourethrography, flowmetry, EMG, filling and voiding cystometry. PLUTSs was correlated with both clinical and urodynamic findings.

Results: 30 patients between the age of 6-16 years (18 boys and 12 girls) with a mean age of 11.22 ± 0.8 (boys) and 10.0 ± 0.9 (girls) were involved. Mean pediatric lower urinary tract symptom (PLUTS) score was 20.5 ± 1.5 and 16.44 ± 0.44 in boys and girls respectively. The mean PLUTS score for those with and without recurrent urinary tract infections was 20.82 ± 1.6 and 14.46 ± 1.3 respectively (p-value 0.007). PLUTS score in patients with normal and abnormal bladder capacity was 17.08 ± 1.4 and 27.75 ± 1.6 respectively (p-value 0.007). All urodynamic parameters were not significantly associated with higher PLUTSs.

Conclusion: This study shows that higher pediatric lower urinary tract symptom score is associated with higher rates of recurrent urinary tract infections as well as abnormal bladder capacities. However, PLUTS score was unable to predict multiple urodynamics parameters.