de Abreu GE, et al. - Researchers investigated how functional constipation (FC) severity as determined by the modified constipation scoring system influence lower urinary tract symptoms (LUTS) severity in children/adolescents. In addition, they evaluated the scoring system for its correlation with the Rome IV criteria. In this cross-sectional study, they included 128 patients with LUTS (5- to 17-year-old; 71 (55.5%) female), with or without FC; of these, 107 patients (83.6%) had lower urinary tract dysfunction which was more common in girls; 80 patients (62.5%) had functional constipation. In children/adolescents with LUTS/LUTD, a correlation of the intensity of FC—as measured by the modified constipation scoring system—with the severity of the urinary symptoms was observed. Constipated patients showed a correlation between the modified constipation scoring system and the Rome IV criteria. The constipation scoring system recognized symptoms/signs of bowel dysfunction in non-constipated patients that were not picked up by the Rome IV criteria. Finally, findings support the significance of this score for research purpose and particularly in a prognostic work-up.