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Examining LUTS and school functioning from a triadic perspective in regular elementary schools

Loïc D'Haene (UGent) , Mathilde Joos (UGent) , Christine Van den Broeck (UGent) , Erik Van Laecke (UGent) , Ellen Vandamme (UGent) and Bieke Samijn (UGent)
Author
Organization
Abstract
Introduction: Schools and teachers play a significant role in the lives of children and can have a substantial impact on their lower urinary tract health (LUTH). This study examines the effects of lower urinary tract symptoms (LUTS) on school functioning, along with associated scholastic factors and perceptions. Participants and methods: A cross-sectional cohort study with triadic evaluation was conducted in twelve regular elementary schools between 2022 and 2024. Children completed the validated Dutch School-wellbeing questionnaire, parents filled out the validated Dutch Vancouver Symptom Score for Dysfunctional Elimination Syndrome regarding their child and teachers answered a non-validated questionnaire based on the LUTH criteria from Ko et al. (2016). Results: A total of 171 children, 365 parents and 75 teachers filled in the questionnaires. The prevalence of LUTS was 21.8%. No significant association was found between LUTS and overall school functioning? However, a trend value (p = 0.09) suggested lower social relationship scores in the LUTS group, indicating more bullying and loneliness. Schools with minimal vandalism and negative behaviors in toilets reported lower rates of daytime urinary incontinence. Unfortunately, most schools did not meet optimal LUTH criteria. Over half of the teachers (64%) were never informed about LUTS, while 58.7% expressed a desire for more information. Parents’ expectations regarding the teacher’s role in LUTS management and drinking policies differed from those of teachers. Conclusion: Raising awareness among parents and teachers is crucial for preventing, identifying and treating LUTS, highlighting the need for educational protocols on LUTH.
Keywords
Lower urinary tract symptoms, Bladder and bowel dysfunctions, School-going children, Risk factors, Cross-sectional cohort study

Citation

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MLA
D’Haene, Loïc, et al. “Examining LUTS and School Functioning from a Triadic Perspective in Regular Elementary Schools.” EACD & IAACD 2025, Abstracts, 2025.
APA
D’Haene, L., Joos, M., Van den Broeck, C., Van Laecke, E., Vandamme, E., & Samijn, B. (2025). Examining LUTS and school functioning from a triadic perspective in regular elementary schools. EACD & IAACD 2025, Abstracts. Presented at the EACD & IAACD 2025, Heidelberg, Germany.
Chicago author-date
D’Haene, Loïc, Mathilde Joos, Christine Van den Broeck, Erik Van Laecke, Ellen Vandamme, and Bieke Samijn. 2025. “Examining LUTS and School Functioning from a Triadic Perspective in Regular Elementary Schools.” In EACD & IAACD 2025, Abstracts.
Chicago author-date (all authors)
D’Haene, Loïc, Mathilde Joos, Christine Van den Broeck, Erik Van Laecke, Ellen Vandamme, and Bieke Samijn. 2025. “Examining LUTS and School Functioning from a Triadic Perspective in Regular Elementary Schools.” In EACD & IAACD 2025, Abstracts.
Vancouver
1.
D’Haene L, Joos M, Van den Broeck C, Van Laecke E, Vandamme E, Samijn B. Examining LUTS and school functioning from a triadic perspective in regular elementary schools. In: EACD & IAACD 2025, Abstracts. 2025.
IEEE
[1]
L. D’Haene, M. Joos, C. Van den Broeck, E. Van Laecke, E. Vandamme, and B. Samijn, “Examining LUTS and school functioning from a triadic perspective in regular elementary schools,” in EACD & IAACD 2025, Abstracts, Heidelberg, Germany, 2025.
@inproceedings{01JNB9G9MQWHKV9K4G8D2JXGMV,
  abstract     = {{Introduction: Schools and teachers play a significant role in the lives of children and can have a substantial impact on their lower urinary tract health (LUTH). This study examines the effects of lower urinary tract symptoms (LUTS) on school functioning, along with associated scholastic factors and perceptions. Participants and methods: A cross-sectional cohort study with triadic evaluation was conducted in twelve regular elementary schools between 2022 and 2024. Children completed the validated Dutch School-wellbeing questionnaire, parents filled out the validated Dutch Vancouver Symptom Score for Dysfunctional Elimination Syndrome regarding their child and teachers answered a non-validated questionnaire based on the LUTH criteria from Ko et al. (2016). Results: A total of 171 children, 365 parents and 75 teachers filled in the questionnaires. The prevalence of LUTS was 21.8%. No significant association was found between LUTS and overall school functioning? However, a trend value (p = 0.09) suggested lower social relationship scores in the LUTS group, indicating more bullying and loneliness. Schools with minimal vandalism and negative behaviors in toilets reported lower rates of daytime urinary incontinence. Unfortunately, most schools did not meet optimal LUTH criteria. Over half of the teachers (64%) were never informed about LUTS, while 58.7% expressed a desire for more information. Parents’ expectations regarding the teacher’s role in LUTS management and drinking policies differed from those of teachers. Conclusion: Raising awareness among parents and teachers is crucial for preventing, identifying and treating LUTS, highlighting the need for educational protocols on LUTH.}},
  author       = {{D'Haene, Loïc and Joos, Mathilde and Van den Broeck, Christine and Van Laecke, Erik and Vandamme, Ellen and Samijn, Bieke}},
  booktitle    = {{EACD & IAACD 2025, Abstracts}},
  keywords     = {{Lower urinary tract symptoms,Bladder and bowel dysfunctions,School-going children,Risk factors,Cross-sectional cohort study}},
  language     = {{eng}},
  location     = {{Heidelberg, Germany}},
  title        = {{Examining LUTS and school functioning from a triadic perspective in regular elementary schools}},
  url          = {{https://eacd-iaacd2025.org/}},
  year         = {{2025}},
}