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Although uroflowmetry and bladder diaries are widely used for noninvasive evaluation of lower urinary tract symptoms, they still have limitations in diagnostic capability and users' convenience. The aim of this paper is to discuss potential solutions by reviewing (1) the evolution and current clinical use of uroflowmetry and bladder diary, including clinical guidelines, daily practice applications, and their historical development; (2) a growing trend toward using home devices with various technologies; and (3) a comprehensive comparison of the strengths and weaknesses of these home devices. In our opinion, the following points can be highlighted: (1) the emerging trend of using home devices can enhance diagnostic capabilities through repeated measurements and the convenience of at-home testing and (2) home devices, which provide both frequency-volume and uroflowmetry information, have the potential to transform the management of lower urinary tract symptoms.
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http://dx.doi.org/10.2196/66694 | DOI Listing |
Cureus
August 2025
General Medicine, Universidad de Ciencias Médicas (UCIMED), San José, CRI.
Many patients with injuries to their central nervous system, especially those who have had a stroke or a spinal cord injury, have neurogenic voiding dysfunction. It happens when patients can't control their bladder voluntarily, which can make them feel urgency, experience leaks, or have trouble emptying their bladder. If not treated right away, it can cause infections, damage to the bladder, or even kidney problems over time.
View Article and Find Full Text PDFCureus
July 2025
Urology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, IND.
Objectives To study the feasibility of bladder neck incision (BNI) in female patients with primary bladder neck obstruction in whom conservative measures have failed to show promising results. Materials and methods We included 48 female patients who had all the following features at presentation: maximum flow rate of urine <12 mL/second, inadequate funneling of the bladder neck on voiding cysto-urethrogram, post-void residual urine (PVRU) >100 mL, sustained detrusor contraction of >25 cmH2O at maximum urinary flow rate (Qmax), and a normal urethral caliber. Uroflowmetry, voiding cystometrogram, and cystourethroscopy were performed preoperatively in all patients.
View Article and Find Full Text PDFBiosensors (Basel)
July 2025
Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
This paper describes a novel wearable personal uroflowmeter and its use to log urine leakage episodes in women. Consisting of a miniature flow rate sensor attached under the urethral meatus, it recorded both urine flow rate and volume during activities of daily living. The sensor communicated with a determining unit incorporating a microcontroller and an inertial measurement unit worn at the waist, facilitating the post-hoc determination of which activities and changes in pose caused leakage.
View Article and Find Full Text PDFInt J Urol
August 2025
Division of Pediatric Urology, Department of Urology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Türkiye.
J Family Reprod Health
June 2025
Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Objective: This study aimed to evaluate the urodynamic findings in women with voiding dysfunction symptoms at a referral academic center.
Materials And Methods: Patients who underwent urodynamics to evaluate voiding dysfunction symptoms between 2019 and 2022 were retrospectively analyzed. Demographic and clinical data were obtained from the electronic data registration system of the urogynecology clinic.