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Uroflowmetry

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Also Known As

Uroflow test, urinary flow study, flow study, uroflow, urinary flow rate test, UFM

Definition

Uroflowmetry is a non-invasive diagnostic procedure used to measure the rate and flow of urine over time during micturition (urination).1 It quantifies the volume of urine voided from the body, the speed with which it is released, and how long the release takes to complete.2 The test provides objective measurements of urine flow parameters including maximum flow rate (Qmax), average flow rate (Qaverage), voided volume, and the pattern of urinary flow.3 Uroflowmetry is performed using an electronic uroflowmeter that records data when a patient urinates into a specialized funnel-shaped device or toilet.1 This diagnostic tool helps healthcare providers evaluate bladder and urethral function, identify potential urinary tract obstructions, and assess sphincter muscle activity without requiring any invasive procedures.2

Clinical Context

Uroflowmetry is primarily used in the evaluation of patients with lower urinary tract symptoms (LUTS), which may include difficulty urinating, weak urine stream, urinary frequency, urgency, or incontinence.1 It serves as a first-line diagnostic tool for assessing various urological conditions including:

1. Benign prostatic hyperplasia (BPH): In men with enlarged prostate glands that may obstruct the urethra and impede urine flow.1,2

2. Urethral stricture disease: When narrowing of the urethra occurs due to trauma, infection, or inflammation.1

3. Neurogenic bladder dysfunction: In patients with bladder issues resulting from nervous system injuries or disorders, such as spinal cord tumors or injuries.1

4. Bladder outlet obstruction (BOO): To evaluate the severity of blockage in the normal flow of urine.3

5. Urinary incontinence: To assess bladder and sphincter function in patients experiencing involuntary urine leakage.2

The procedure requires patients to arrive with a comfortably full bladder and urinate normally into the uroflowmetry device.1 For accurate results, patients should not strain or attempt to manipulate the flow rate during the test.1 Post-void residual urine volume is typically measured via ultrasound within 5 minutes following the uroflowmetry to provide a comprehensive assessment of bladder emptying.3 The test may need to be repeated on multiple occasions to increase reliability, as results can vary based on voided volume and the patient’s level of bladder fullness.3

Scientific Citation

[1] Keskin MZ, Karaca E, Uçar M, Ateş E, Yücel C, İlbey YÖ. Comparison of uroflowmetry tests performed with a sensation of normal desire to void versus urgency and correlation of test results with IPSS. Turk J Urol. 2020 May;46(5):378-382. DOI: 10.5152/tud.2020.20049

[2] Takeshima Y, Matsushita C, Miyake M, Yoneda T, Fujii T, Hori S, Morizawa Y, Tatsumi Y, Nakai Y, Anai S, Tanaka N, Fujimoto K. The association between the parameters of uroflowmetry and the therapeutic effect of silodosin in patients with benign prostatic hyperplasia. PLoS One. 2022 Oct 6;17(10):e0275069. DOI: 10.1371/journal.pone.0275069

[3] Mahajan AD, Babbar P, Thakur N, Narasimhan KL. Uroflowmetric analysis and derivation of nomograms for healthy Indian children. J Pediatr Urol. 2022 Feb;18(1):64.e1-64.e7. DOI: 10.1016/j.jpurol.2021.10.017