Lower Urinary Tract Symptoms in Adults Treated for Posterior Urethral Valves in Childhood
Purpose Lower urinary tract symptoms (LUTS) are common in children with posterior urethral valves (PUV). In the present study we compared the prevalence of LUTS between adult patients treated for PUV in childhood and age-matched population-based cohort. Material and Methods Information on LUTS was assessed using the Danish Prostatic Symptom Score (DAN-PSS) questionnaire. Out of 108 PUV patients, 69 (64%) returned the questionnaire. Age-matched-cohort of 1,242 men (randomly identified from the population register) was used as a control. Results The median age of the 69 patients and controls was 38 years (age range: 17-57 for patients and 18 -57 for controls). Both any urgency and any stress incontinence were more common in the patients than in the controls (14.5% and 11.6% vs. 6.3% and 3.6%, p=0.02 and p= Fifteen of the 69 patients (22%) had originally had a temporary bilateral ring-type ureterocutaneostomy because of severe disease and seven patients (10%) had later undergone kidney transplantation. The incidence of LUTS did not differ between these groups and those without primary stoma and kidney transplantation. Conclusions In adulthood PUV patients have more LUTS than normal population.