TABLE 1.
Pt # | Age (y)/gender | LUTS | Time to symptom onset after COVID‐19 diagnosis (mo) | DVSS a | GFR (CKD‐EPI) | Urinary tract imaging | Cystometry results | Neurological assessment | Treatment |
---|---|---|---|---|---|---|---|---|---|
1 | 17, F | Incomplete bladder emptying, frequency, constipation | 4 | 9/2 | 145 mL/min | No dilation | DOA: (‐) EBC: 350‐500 mL Cystometric capacity: 431 mL (normal for age) Compliance: 62.7 mL/cmH2O Hypocontractile detrusor PMR: 431 mL | NNE b spinal MRI: normal | CIC |
2 | 14, F | Urinary retention | 3 | 10/2 | 145 mL/min | US: L‐grade 2 HN, R‐grade 1 HN |
DOA: (‐) EBC: 350‐500 mL Cystometric capacity: 650 mL (increased for age) Compliance: 100 mL/cmH2O Acontractile detrusor PMR: 657 mL |
NNE b spinal MRI: normal | CIC |
3 | 15, M | Incomplete bladder emptying, intermittency, hesitancy, constipation | 3 | 13/2 | 147 mL/min | US: L‐grade 1 HN, R‐grade 1 HN |
DOA: (‐) EBC: 350‐500 mL Cystometric capacity: 450 mL (normal for age) Compliance: 119,5 mL/cmH2O Acontractile detrusor PMR: 450 mL |
NNE b spinal MRI: normal | CIC |
Abbreviations: CIC, clean intermittent catheterization; CKD‐EPI, Chronic Kidney Disease Epidemiology Collaboration; DOA, detrusor overactivity; DVSS, dysfunctional voiding symptom score; EBC, estimated bladder capacity for age; F, female; GFR, glomerular filtration rate; HN, hydronephrosis; L, left; LUTS, lower urinary tract symptoms; M, male; MRI, magnetic resonance imaging; NNE, normal neurological evaluation; PMR, post‐micturition residual; Pt, patient; R, right; US, ultrasound.
DVSS consists of 13 questions about daytime and nighttime urinary symptoms, voiding and bowel habits, and 1 item for quality of life. 6 The total score ranges from 0 to 35. A score above 8.5 indicates voiding abnormalities. According to this tool, our patients had the following symptoms:
Question 5. How many times does your child urinate? More than seven times/day (1).
Question 6. My child strains during voiding. No (0), Yes (4).
Question 7. My child feels pain during voiding. No (0), Yes (1).
Question 8. My child voids intermittently. No (0), Yes (2).
Question 9. My child needs to go back to the bathroom soon after he/she finishes. No (0), Yes (2).
Question 11. My child holds by crossing his/her legs. No (0), Yes (2).
Question 13. My child does not have a bowel movement daily. No (0), Yes (1).
Quality of Life: If your child experiences the symptoms mentioned above, does it affect his/her family, social, or school life? No = 1, Yes = 2, Seriously affects = 3.
Pt#1: 5, 6, 7, 9, 13; Quality of Life: 2.
Pt#2: 5, 6, 7, 9, 11; Quality of Life: 2.
Pt#3: 5, 6, 7, 8, 9, 11, 13; Quality of Life: 2.
Normal neurological examination includes intact perineal sensation and anal tone, normal muscle mass and strength sensation of the lower extremities, normal deep tendon reflexes, normal gait, and absence of skin lesions overlying the sacrum.