Prevalence of Daytime Urinary Incontinence and Related Risk Factors in Primary School Children in Turkey
Bolat Deniz, Acar Ismail Cenk, Eskicorapci Saadettin, Zumrutbas Ali Ersin, Sancak Eyup Burak, Zencir Mehmet, Turan Tahir, Sinik Zafer,
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( Bolat Deniz )
Kayseri Training and Research Hospital Department of Urology
( Acar Ismail Cenk )
Istanbul Acibadem University Faculty of Medicine Department of Urology
( Eskicorapci Saadettin )
Istanbul Acibadem University Faculty of Medicine Department of Urology
( Zumrutbas Ali Ersin )
Pamukkale University Faculty of Medicine Department of Urology
( Sancak Eyup Burak )
Canakkale Onsekiz Mart University Medicine Department of Urology
( Zencir Mehmet )
Pamukkale University Faculty of Medicine Department of Urology
( Turan Tahir )
Istanbul Acibadem University Faculty of Medicine Department of Urology
( Sinik Zafer )
Pamukkale University Faculty of Medicine Department of Urology
KMID : 0358320140550030213
Abstract
Purpose: Urinary incontinence is one of the major urinary symptoms in children and adolescents and can lead to major distress for the affected children and their parents. In accordance with the definitions of the Standardization Committee of the International Children’s Continence Society, daytime urinary incontinence (DUI) is uncontrollable leakage of urine during the day. The aim of this cross-sectional study was to investigate the prevalence and associated risk factors of DUI in Turkish primary school children.
Materials and Methods: The questionnaire, which covered sociodemographic variables and the voiding habits of the children, was completed by the parents of 2,353 children who were attending primary school in Denizli, a developing city of Turkey. The children’s voiding habits were evaluated by use of the Dysfunctional Voiding and Incontinence Symptoms Score, which is a validated questionnaire. Children with a history of neurological or urological diseases were excluded.
Results: The participation rate was 91.9% (2,164 people). The overall prevalence of DUI was 8.0%. The incidence of DUI tended to decrease with increasing age and was not significantly different between genders (boys, 8.8%; girls, 7.3%; p=0.062). Age, maternal education level, family history of daytime wetting, settlement (urban/rural), history of constipation, urinary tract infection, and urgency were independent risk factors of DUI.
Conclusions: Our findings showed that DUI is a common health problem in primary school children. In an effort to increase awareness of children’s voiding problems and the risk factors for urinary dysfunction in the population, educational programs and larger school-based screening should be carried out, especially in regions with low socioeconomic status.
키워드
Child; Diurnal enuresis; Prevalence; Risk factors; Urination disorders
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