ESPN 51th Annual Meeting

ESPN 2018


 
Dysfunctional Voiding and Attention Deficit Hyperactivity Disorder (ADHD) Association in Children
ILKE BEYITLER 1 YELIZ CENGIZ 2 SALIH KAVUKCU 1

1- DEPARTMENT OF PEDIATRIC NEPHROLOGY, FACULTY OF MEDICINE, NEAR EAST UNIVERSITY, NICOSIA, CYPRUS
2- DEPARTMENT OF CHILD & ADOLESCENT PSYCHIATRICS, FACULTY OF MEDICINE, NEAR EAST UNIVERSITY, NICOSIA, CYPRUS
 
Introduction:

 Dysfunctional  voiding  is a common problem in pediatric practice and is defined for children with voiding symptoms or urinary incontinence. ADHD  is  also  a  common  issue  of  pediatric  age  group  characterised  by  hyperactivity,  inattention  and  impulsivity  which  is  defined  to  be  associated with increase in voiding dysfunction in childhood. 

Material and methods:

 Parents of 225 healthy children  between 5 – 15 years age group  at  our Pediatrics outpatient clinic and   63 children  newly  diagnosed  as  ADHD  by the  Child & Adolescent  Psychiatrics outpatient clinic in our hospital were asked to complete  questionnares of  dysfunctional voiding and incontinence scoring system (DVISS). Children with neurological, urological diseases and  any  other  chronic  diseases  were excluded. 

Results:

 Urinary  incontinence  during  daytime  was  61.9% in ADHD  group  and  4% in control group (p=0.00). Incontinence at night was 39.7% in ADHD group while it was 4.9% in control group (p=0.00). There were no difference according to gender and age groups. Crouching  during urination was more common in control group (59%)  than  ADHD  group (42.9%) (p=0.03). Quality of  life was more affected due to voiding dysfunctional symptoms in ADHD group (30.2%) than in control group (8.9%) (p=0.00). Voiding dysfunction scores were found as high in 39.7% in ADHD group and 7.1 of control group (p=0.00).

Conclusions:

 ADHD is associated with higher dysfunctional voiding scores in children. It is important to evaluate enuretic children for  ADHD  and  children  with  ADHD  for  enuresis  symptoms in order to improve outcome of both entities and avoid long term morbidities.