Figen Çelebi ÇELİK, Anıl EKER
Journal of Urological Surgery - 2026;13(3):241-248
Objective: Allergic respiratory diseases may be associated with lower urinary tract symptoms (LUTS), but whether the allergic disease burden is related to the severity of urinary symptoms remains unclear. This study aimed to evaluate LUTS in adolescents with allergic rhinitis (AR) and to test the hypothesis that allergic disease burden is associated with higher Dysfunctional Voiding and Incontinence Symptom Score (DVISS). Materials and Methods: This single-center, cross-sectional observational study included children aged 12-18 years with physician-diagnosed AR. AR severity was categorized as mild or moderate-to-severe according to the Allergic Rhinitis and its Impact on Asthma classification. Disease duration, visual analogue scale score, medication score, laboratory markers of atopy, aeroallergen sensitization profile, and DVISS were recorded. Group comparisons, Spearman correlation analysis, and multivariable linear regression analysis were performed. Results: Of the 111 adolescents, 55 had AR alone and 56 had AR with asthma. The total DVISS score did not differ significantly between the groups. Total DVISS score was weakly positively correlated with disease duration, disease severity, and visual analogue scale score. In multivariable analysis, longer disease duration and greater disease severity were weak-to-modest factors associated with higher DVISS scores after adjustment for age, sex, and medication score; however, the explanatory power of the model was limited. Storage symptoms, particularly daytime urinary frequency, nocturia, and urgency, showed more consistent associations with allergic disease burden than voiding symptoms. Conclusion: In adolescents with AR, longer disease duration and greater disease severity were weak-to-modest factors associated with a higher burden of LUTS. These findings support considering LUTS in adolescents with chronic or severe allergic respiratory disease; however, further prospective studies are required before routine clinical recommendations can be made.
