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Enuresis, Lower Urinary Tract Dysfunction and Teachers’ Perceptions: A School-based Survey

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Abstract

Objective: To determine the prevalence of enuresis and lower urinary tract dysfunction among Indian schoolchildren, and describe teachers’ perceptions regarding toilet requests.

Methods: Anonymous survey of students of a secondary school in Visakhapatnam, India by a modified version of the Dysfunctional voiding and incontinence scoring system (DVISS) in 2518 parents. Two questionnaires–the Bathroom behaviour scale and Teachers’ hassle scale for toilet requests were designed, validated and administered to 138 teachers. Results: We received 1911 (75.9%) modified DVISS questionnaires with response; 1790 (93.7%) were valid. History was compatible with enuresis in 85 (4.7%), non-monosymptomatic enuresis in 38 (2.1%), overactive bladder in 46 children (2.6%), dysfunctional voiding syndrome in 14 children (0.8%) and both overactive bladder as well as dysfunctional voiding syndrome in 4 (0.2%). Responses of 43 (31.2%) teachers indicated refusal of toilet requests; medical cause underlying frequent toilet requests was understood by 82 (59.4%) teachers. At least one aspect of toilet requests was a frequent or intense hassle in 43 (39.8%) and 29 (28.7%) teachers, respectively. Conclusion: Toilet requests are misunderstood by and present a stressor to a sizeable minority of teachers.

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Acknowledgments

Dr Parul Kumar, Principal and all staff of Navy Children School, Visakhapatnam. Prof. Pankaj Hari, Nephrology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi for reading the draft manuscript and recommending corrections.

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Authors and Affiliations

  1. Department of Pediatrics, INHS Kalyani, Visakhapatnam, India

    Ranjeet Wishram Thergaonkar & Neerja Thergaonkar

  2. Station Health Organization, Visakhapatnam, Andhra Pradesh, India

    Santosh Kumar Swain

Authors
  1. Ranjeet Wishram Thergaonkar
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  2. Neerja Thergaonkar
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  3. Santosh Kumar Swain
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Contributions

Contributors: RWT: conceptualized the students’ aspect of the study, designed the study, modified the DVISS questionnaire, analyzed data, and prepared the manuscript; NT: conceptualized the teachers’ aspect of the study, prepared and performed validation of the BBS and THSTI questionnaires, analyzed questionnaires and was involved in preparing ,the manuscript; SKS: revised the study design, calculated sample size, conducted the survey, analysed the DVISS questionnaires, conducted, biostatistical analysis, revised the manuscript.

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Correspondence to Ranjeet Wishram Thergaonkar.

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Thergaonkar, R.W., Thergaonkar, N. & Swain, S.K. Enuresis, Lower Urinary Tract Dysfunction and Teachers’ Perceptions: A School-based Survey. Indian Pediatr 57, 431–434 (2020). https://doi.org/10.1007/s13312-020-1818-6

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  • DOI: https://doi.org/10.1007/s13312-020-1818-6

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