Category: Uncategorised

Unboxing of iUFlow by John C Lin, Urologist

Unboxing of iUFlow Uroflow. Dr. John C Lin has been a urologic Practice Management speaker for the American Urological Association and was nominated as Physician of the Year in Lake Havasu City in 2004. Dr. Lin served as an adviser to Google Health. In addition, he served on the American Urological Association advisory board (Health Information Technology workgroup) on evaluation, adoption, and utilization of electronic health records and telemedicine. 

More info on Sunrise Urology – Timely urologic care to the Gilbert, Queen Creek, Mesa, Chandler, San Tan Valley, and surrounding areas.

Dr. Lin currently hosts occasional Facebook Live shows, highlighting personalities who work in health and related fields.

Unboxing of iUFlow by Dr. John C Lin, Urologist

Part I
Unboxing of iUFlow automated home uroflow / uroflometry using an innovative Bluetooth connected device. The information / voiding diary is saved on the user’s phone for later analysis. This seems to be an interesting device for those needing an automated voiding diary.


How can I test urine flow at home?

What is iUFlow?

iUFlow is a Uroflow for home use. It uses sensors to objectively measure bladder behavior during a prescribed interval. The outcome is a complete urine flow test. For example: Volume, Qmax, flow rates and frequency of a patient’s voiding activities. iUFlow is an easy Uroflowmetry or urine flow rate test at home.
iUFlow Uroflow and iUFlow Voiding Diary app — Urine Flow

George C. ⭐⭐⭐⭐⭐

I use it daily
“The Dr. wanted me to uroflow daily. This unit has given me the easy way to do that. And it also keeps all the records for me.”

What is normal Uroflow?

Average outcomes are based on age and gender. Typically, urine flow rate runs from 10ml to 21ml / second. Women range closer to ~15ml/s to 18ml/s. A weak or slow flow rate may be a sign that there is an obstruction at the bladder neck or in the urethra, an enlarged prostate, BPH, or a weak bladder.

What is normal Uroflow? How to read Uroflow results?

How can I increase my urine flow?

  1. Be active. Lack of physical activity can make you retain urine.
  2. Kegel exercises. Stand at / sit on the toilet and contract/expand the muscle that allows you to stop and start the flow of urine.
  3. Meditation. Anxiety and stress cause some men to urinate more often.
  4. Double voiding. Pass urine more than once each time that you go to the toilet.

There are many more questions related to prostate and lower urinary tract symptoms that we receive frequently. For example: Can turmeric shrink prostate? Is oatmeal good for your prostate? What color pee is bad? What’s the first sign of kidney problems? Do I have a normal volume of urine for 24 hours? How can I clean my bladder?

Please feel very welcome to contact us in regard to a urine flow test at home.

man urinate into iuflow uroflowmeter
Provide your doctor with real-time data.

Read more on iUFlow and why you should order your own home Uroflowmeter.

Do-It-Yourself uroflowmetry – A better way of collecting uroflow data.

A comparison of Do-It-Yourself uroflowmetry (DIY), e.g. an in-home uroflometry (uroflow), with traditional, in-clinic uroflowmetry.

Mombelli et al presented a study that compares home uroflowmetry to the traditional commonly used uroflow.

The assessment of urine flow rate dates back to the 1950s…
There is nothing new in Lower urinary tract symptoms, prostate volume and uroflow.

The title of the study: Free uroflowmetry versus “Do-It-Yourself” uroflowmetry in the assessment of patients with lower urinary tract symptoms.

To sum it up: together with the international Prostatic Symptom Score (IPSS), home uroflow is a good estimate of the results of uroflowmetry. In other words, it enables unnecessary hospital investigations to be avoided.

Read the full study at PubMed

Can a stopwatch and a liquid container replace the conventional uroflow machine? Mombelli et al published the paper in 2014, a few years have passed, and it seems that urologists still prefer precise data. Uroflow is no longer limited to only the hospitals and clinics that have the technology.

The stopwatch, DIY, method provides a very general idea of the bladder state. However, home uroflow is a better way to obtain (multiple) flow readings. To clarify, it has the potential to combat problems inherent to clinic-based flow tests.

Likewise, there are several studies that show the use of low cost home devices to measure flow rate. But there is no need to compromise where it comes to health or test accuracy. With iUFlow you can measure and monitor your urine flow at home and turn it into valuable data. The data helps doctors to easily diagnose and treat urinary tract conditions. The device is lightweight and portable. There is no need to touch or write down urination volume.

A flow test calculates the speed of urine flow over time.

Just place iUFlow device on the toilet bowl under the seat, make sure it’s stable with all 3 flaps touching the bowl. And that’s it. The next step is urinate into it and flush. It will quickly and accurately measure the flow and total volume.

The results will sync into your iPhone or Android. On your smartphone, turn on Bluetooth and start iUFlow app. In addition, your doctor can view the flow rate outcomes on their computer screen.

iUFlow clinician dahsboard

By viewing the dashboard, your doctor can now assess your treatment with real-time data and get constant feedback from your bladder. And to even monitor or determine the need for treatment. A great use of this valuable data is by comparison. For example, before and after drug like alpha blocker for instance in the case of BPH. Urine Flow Rate Detector or Home Uroflow can be valuable as well for the monitoring of other situations. For example, OAB, USD.

Further reading, Maximum Urine Flow Rate of Less than 15ml/Sec

What is the best Do-It-Yourself uroflowmetry? Some benefits of flow test @Home:

  • Use it anywhere, not just hospitals or clinics
  • Accuracy
  • Patients tested from home, saving travel time and expense
  • Paperless
  • Healthcare provider gets results directly
Shared with doctor

Is low Qmax value a sign of obstruction? Why is my urine stream weaker?

How to get the test results of iUFlow? Does it measure volume and Qmax?

Both Volume and Qmax are recorded, of course. iUFlow syncs the result to iUFlow Voiding Diary app (free and on both Android® and Apple®). And the same for iUFlow dashboard. So, your physician can interpret the results even at the same moment that the measurement takes place.

Contact us for more information. Or with any question about interpretation of your test results.

Learn more about iUFlow

BPH Patient consulting with an online Urologist. Not an exciting chat

More and more online doctor services are emerging. Let’s take a look at this correspondence of a BPH patient and an online Urologist (below). Firstly, as you can see, the answers are generic. Secondly, he received a grocery list of possible issues and treatments. Thirdly, it seems that the online doctor is confusing between Benign prostatic hyperplasia (BPH) and Urge incontinence??.

To sum it up, an online doctor can’t replace a visit at the Urologist’s or PCP’s clinic.
(TL;DR) Avoid online doctor services and don’t try to save money on your bladder.

Weak Flow? A sign of BPH?


online doctor bph

BPH Patient: I am a 58 years old male. Why does it take me a long time to pee recently? No burning sensation. Urine is not coming easily. Slow urine flow.

Doctor ###### replies:

Hello, my name is Dr #####, thank you for your question. I am a qualified MD with 13 years’ experience, and I am happy to work with you on this.

You should approach a doctor for this.
There are several types of male incontinence like Stress incontinence, Urge incontinence, Overflow incontinence and Functional incontinence.

Causes for incontinence are:
Small functional bladder capacity (FBC): In other words, the bladder is able to contain only a small volume of urine,
Detrusor Overactivity: the muscle of the bladder is hyperactive, causing inappropriate urination.
Sleep disorders: such as sleep apnea and sleep walking, etc. can lead to this.
Medications: certain medications can cause this.
UTI: urinary tract infection can cause this.
Urinary tract stones
Neurological disorders

Consult a Urologist for this.

A urologist needs to investigate to find the cause of your incontinence. You need to be examined thoroughly for this. In addition, besides tests like Urine Culture and sensitivity, you also need tests like Uroflow, Ultrasound, IVP, cystoscopy and voiding cystography. You should discuss these tests with your doctor

You need to take some active steps to combat such habits:
Pelvic exercises: Kegel exercises should be done.
Link: https://medlineplus.gov/ency/patientinstructions/000141.htm
Biofeedback exercises.
Behavior modifications: Like going to the bathroom at fixed times, drinking less fluids, holding on to the urine as far as possible till the time is appropriate.
These steps will help you, but you need to see a Urologist for this.
Hope I have been able to clarify the situation for you and helped in resolving your query. If you need more help, please let me know so l can continue to assist you.
Thank you and I wish you the best of health – stay safe!


Conclusion:

An online chat will never replace a real face-to-face visit with a Urologist or Gynecologist. It is better to arrive prepared. That is to say, share objective data with your doctor. Such as: bladder diary and uroflow charts. Your health care provider will very much appreciate these. And, like this, your complaints can be assessed scientifically as symptoms.

Shared with doctor

Monitor your issue with iUFlow home uroflow and Bladder diary app. Your doctor will appreciate the data and will be able to better tailor the treatment for you.

iUFlow Uroflow Urine test

Simple to use but very effective

I found this flow meter by accident and so pleased I did. It helped tremendously to have an accurate record to present to the consultant.

Rating: 5 out of 5.

Contact us for more information regarding iUFlow or with any question about interpretation of uroflow results. Uroflow Test at home

Learn more:

iUFlow in 3 Easy Steps

Weak Urine Flow? A sign of BPH for men?

iUFlow Overview

Printable Bowel Movement Chart – Poo diary

Bowel movement and voiding Diary is a tool that allows to record how much liquid you drink, how often you go to the restroom. And some additional information like when you experience urine leakage and urgency. Bowel movement and voiding diary is also known as Bladder Diary, Bristol chart, poo log, stool diary or Frequency volume chart (FVC).

How to complete – Instructions for Completing a 3-Day Bowel movement chart

1. Complete the bowel movement and bladder diary for a total of 3 days. 24×3

2. On the day that you start recording events in the bowel movment and bladder diary. Print your name and full date at the top of the diary.

How to record in the diary:

Hour: Use one bowel and voiding diary sheet for each 24-hour period. Circle your bedtime (example, 11pm) and wake-up time (example 7am) directly in the time column. Start recording all fluid intake, bowel movement and urinary events starting at 7am and ending the following day at 7am. Write down the event next to the appropriate hour time slot when it occurred.

Fluid: Under “fluid intake”, write the total amount of fluids you drank. This could be in ounces or ml– during a given time period.

Toilet : In the column marked “toilet voids and bowel movement”, remember to make sure that the urinary container is in the toilet. On each time you urinate. Record the amount of urine you voided (in ml) each time you urinated in the toilet over a 24-hour period.

Bristol chart

Use a Bristol chart to rate the bowel movement shape.

  • Type 1-2 indicate constipation,
  • 3-4 are ideal stools as they are easier to pass, and
  • Type 5-7 may indicate diarrhea and urgency. 

Tired of the manual way of recording pee? Consider getting an iUFlow device. Provide your PT or Urologists with real-time bladder data.

Leaks: Under “leaks”. Mark each time you had involuntary urine loss (even a small amount) before you made it to the toilet.

Urge: Under “urge”. Rate each time you had a trip to toilet.

Start a new page for each day you keep the diary. You need to keep a diary for 3 full days, though they do not need to be consecutive days.

Clinic: __________________________

Full Name: ______________________________

Date | TimeUrine volume / Toilet tripsDrinks volumeLeakageUrgeDescription
Date and Time am/pmThe exact amount of pee in mL / Bristol chart rating 💩 (1-7)The exact amount of intake in mL / ozDid you experience any accidental leakage?
Rank it 0-4
How strong was the urge to go? Rank it 0-4 
      
      
      
      

Diagnosis Methods

Download and print your own bowel and bladder diary PDF form using this link

bowel and voiding_diary_instructions_how_to-1 — Download

This is the good old way. But, you don’t feel like carrying this paper voiding diary with you? Check out a digital voiding app. iUFlow – Bladder diary. A FREE toilet tracker app available on both Android and iOS app stores.

How to have a Better Bowel Movement?

How to avoid constipation?

It’s easy: Drink water. Eat food that is rich in fiber. For example: fruits, lentils, nuts, grains, and vegetables. Move more.

Track every toilet trip and share the results with your doctor. With the iUFlow app it’s a 2 clicks procedure.

Shared with doctor

Feel free to contact us with any question.

iUFlow Overview

Urology 1:1 Essential Tips and Info

What is the urinary system?

How is the urinary system controlled?

Essential Tips and Info about urinary system. The urinary system, or the renal system, consist of four parts — the kidneys, the ureter, the bladder, and the urethra. The urinary system have important functions, get rid of waste, working with other organs, so the body keeps a proper chemical and water equipoise, and adjusting blood volume and blood pressure.

The bladder stores the urine until it is convenient to pee or in other words, to expel it from the body. While urine is taken from the kidney to the bladder by the ureters.

Ureter urethra

‘Ureter’ differs from ‘urethra’. While, the ureters are tubes that carry urine from the kidneys to the bladder. The urethra is the tube that transports urine out of the body.

Urine equals water, urea and salts.

Lower Urinary Tract Symptoms. Or in short, LUTS.

What are LUTS?

In other words, the lower urinary tract: bladder, prostate and urethra. LUTS are grouped, in general, into symptoms to do with storing or passing urine, like blockage. It can be symptoms linked mainly to one or the other, or a combination of both.

How common is LUTS? When you get older, LUTS are more common. In other words, with age. It can happen when you’re young, but the reason of the problem is likely to be different.

Nearly 33% of men, over the age of 70, are suffering from moderate to severe LUTS.

You’re less likely to suffer from LUTS if you have a healthy lifestyle and body weight and if you’re a non-smoker.


Urologic Conditions

Procedures

  • Uroflowmetry (at home)
  • Urinalysis
  • Bladder Scan
  • Cystoscopy
  • Testicular Self-Examination
  • Urologic Radiology

Understanding Urology

How do doctors check for bladder problems?

Your doctor will ask for your situation and will perform a physical exam. What if I completed a bladder diary and I performed iUFlow urine flow rate test already? If your doctor has ordered the test, and you have any questions or concerns, contact your doctor’s office.

Visiting a Urologist

What should I ask my doctor?

Questions to ask your doctor

  • What are results from the urine flow test telling you?
  • Does my Qmax match the volume?
  • What other test will I need to explain my problem?
  • Am I suffering from LUTS? Can LUTS be prevented?
  • Men: are the symptoms related to my prostate (such as BPH)?
  • Should I fill out a Bladder Diary?
  • What are the next-steps?

Article: Does a home bladder monitoring device improve data?

Article: Do patients feel at home? Bladder holter device

iUFlow Uroflow Urine test

Provide your doctor with real-time data.

What is an iUFlow test?

Read what is iUFlow and why you should probably consider getting one.

Voiding Diary – How to complete

Voiding Diary is an assessment tool that allows to record how much liquid you drink, how often you urinate. And when you experience urine leakage. Voiding diary is also known as Bladder Diary or Frequency volume chart (FVC).

Instructions for Completing a 3-Day Voiding Diary

1. Complete the voiding diary for a total of 3 days. 24×3

2. On the day that you start recording events in the voiding diary. Print your name and date at the top of the diary.

How to record in the diary:

Time of day: Use one voiding diary sheet for each 24-hour period. Circle your bedtime (example, 10pm) and wake-up time (example 5am) directly in the time column. Start recording all fluid intake and urinary events starting at 6am and ending the following day at 6am. Write down the even next to the appropriate hour time slot when it occurred.

Fluid Intake: In the column marked “fluid intake”, write the total amount of fluids you drank. This could be in ml or in ounces – during a given time period.

Toilet Urination: In the column marked “toilet voids”, remember to make sure that the urinary container is in the toilet. On each time you urinate. Record the amount of urine you voided (in ml) each time you urinated in the toilet over a 24-hour period.

Tired of the manual way of doing that? Consider getting an iUFlow device. Provide your PT or Urologists with real-time bladder data.

Amount of Urine Drained via Catheter (optional). Record the amount of urine (in ounces or milliliters) that you drained using a catheter. Remark if this was a residual urine volume (example, 120 ml residual [R], or 170 ml catheter [C] void). If you do not use a catheter, leave this column blank.

Leaks: In the column marked “leaks”. Mark each time you had involuntary urine loss (even a small amount) before you made it to the toilet.

(optional) Pad Changes: In the column marked “description”, write down on each time you changed your pad. If the pad was dry, write a “D”. If the pad was wet with urine, write down whether it was a small, moderate, or a large amount.

Start a new page for each day you keep the diary. You need to keep a diary for 3 full days, though they do not need to be consecutive days.

Clinic: __________________________

Name: ______________________________

Date | TimeUrine volumeDrinks volumeLeakageUrgeDescription
Date and Time am/pmThe exact amount of pee in mLThe exact amount of intake in mL / ozDid you experience any accidental leakage?
Rank it 0-4
How strong was the urge to go? Rank it 0-4 
      
      
      
      

Diagnosis Methods

Download and print your own bladder diary PDF form using this link

How to fill out a bladder diary? Here is a helpful tool to track your bladder behavior and is used to determine on how to handle incontinence or other bladder difficulties. Complete a 72-hour BD before your PT, gynecologist or urologist appointment.

This bladder diary form is printable and free to use.

But wait it’s 2021, you don’t feel like carrying this paper voiding diary with you? Check out a digital voiding app. iUFlow – Bladder diary. A FREE pee tracker app available on both Android and iOS app stores.

iUFlow starter guide

Get the iUFlow Bladder Diary app

iUFlow Dashboard – How to use?

iUFlow Dashboard and Portal.

Firstly, log in diary.iuflow.com (click here or look for the iUFlow Portal link in menu). There you will find your current bladder diary synced from your iUFlow bladder diary app. That is to say, all your home flow rate test that you synced and your manually added events.

Secondly, access the measurements on the iUFlow user dashboard.

Understand the data of the iUFlow Dashboard and Portal

Q: I completed a bladder diary using the iUFlow app, but what is the iUFlow device?
A: iUFlow is a uroflowmeter for home use. iUFlow objectively measure volume, Qmax flow rates and frequency of a patient’s voiding activities during a prescribed interval. The easiest urine Uroflowmetry test at home. Every urination is uroflow.

iUFlow flow rate chart

If you use iUFlow home uroflowmeter: compare your uroflows and assess the effect of treatment. In other words, learn whether the medication, therapy, kegel, surgery make a difference to your flow rate.

Look for a change in flow curve shape and changes in Qmax at a specific volume.

Flow rate test example

For instance, how your flow rate looks?

Is your urine flow bell shaped? Plateau (flat)? Or sporadic?

Even in a very general look, the urination chart shape can teach us a lot. A plateau chart, or low Qmax value are commonly a sign of obstruction. It is a common symptom of BPH. In men – Benign prostatic hypertrophy. Enlargement of the prostate gland, or block of the urethra. Also, it can point to another abnormality related to the Lower Urinary Tract.
How to read Uroflow results?

Thirdly, save the current and previous reports and share them with your doctor or physical therapist. Alternatively, your clinician can log in to the iUFlow clinic portal and track your progress in real-time.

iUFlow clinician dahsboard
iUFlow Clinician Dashboard

As always, you are very welcome to contact us for more information regarding iUFlow. Or, if you have any question about interpretation of uroflow results.

iUFlow Overview

Voiding Diary Analysis – Top tips and Guidelines

FVC analysis – continence assessment

Voiding Diary Analysis: As we all know, a 72-hour frequency volume chart (FVC) is a basic source and an important part of a continence assessment. FVC insights:

Bladder diary form to analyze

Bladder diary example

In order to get an objective picture, a three-day voiding diary is an important part of a continence diagnosis. From both the patient and doctor sides, the best is to complete one prior to the assessment. Like that, the doctor can examine the information in conjunction with the rest of the visit. What should I record in order to get a voiding diary analysis?

OK. What should I record?

  • On each day: the time you wake up. Similarly, the time you go to bed.
  • Measure each void. Write it down in ml or oz, recorded on the chart to the nearest hour
  • Mention the degree of urgency for each void (0 – 3: while, 0 = no urgency, 3 = very urgent)
  • Record of all wet events and degree of wetness. For example: dry, damp/dribble, wet/stream, soaked/flood or by pad weighing.
  • What you were doing when you leak
  • Record of pad/underwear alterations

Drinks and voiding

To clarify, what information needed for the fluid intake part of the form?

  • Volume of drink (how much the drinking glass holds ml)
  • Type of beverage
  • Time

Yes, leakage and Urgency scores are important. When the diagnosis is for overactive bladder, repeated voiding diary tell us a lot about the bladder behavior. Certainly, when compared.

Pad weighing, optional?

24 hour pad weighing. It is usually undertaken in care homes or in patient’s home. Pad weighing is optional and can be undertaken as part of the diary. While, 1g weight is equivalent to 1ml urine. Pad weighs are done using a 24-hour pad collection. Where all pads used in a 24-hour period are collected and weighed. Urine volume (in ml) = weight of wet pad (in grams) – weight of dry pad (in grams) Similarly.


In conclusion, what to do:

To sum up, print the bladder diary. Or download the iUFlow app. Fill out:

  • Total drink volume
  • Total voiding volume
  • Frequency of urination
  • Likewise, Frequency of night (nocturia) episodes
  • Calculate: average daily urination volume
  • Likewise, calculate: Average daily urgency score

Feel free to contact if you have any questions we can assist with

Based on : Gilbert R. Fluid intake and bladder and bowel function. Nursing Times.

Many suffer from incontinence but not aware of the solutions for it. Treating incontinence starts with fully understand the nature of the problem. In other words, reliable diagnosis. Learn more on tracking your bladder habits with iUFlow voiding diary app.

Also, consider home Urine flow test for more diagnostic insights.

Is Uroflowmetry on the Clinical guidelines? What CPT code?

Is Uroflowmetry on the clinical guidelines (also referred by uroflow or urine flow test)?

Clinical guidelines and CPT code for Uroflow test. Urine flow test is an assessment of the urinary tract functionality. It is the main diagnostic tool for Lower Urinary tract symptoms (LUTS).

Urine Flow Test appears on the following clinical guidelines: Adult Urodynamics: AUA/SUFU Guideline (2012)

“Uroflow may be used by clinicians in the initial and ongoing evaluation of male patients with LUTS when an abnormality of voiding/emptying is suggested.
Lower urinary tract symptoms (LUTS), which include urinary incontinence, frequency of urination, urge to urinate and getting up at night (nocturia)
are a common and significant source of impaired quality of life and comorbidity in large numbers of adults and children.
Uroflowmetry is the measurement of the rate of urine flow over time.

Patients with various constellations of LUTS may undergo PVR or uroflow testing as non-invasive methods to screen for disorders of bladder emptying
When utilizing uroflowmetry as a screening assessment of emptying, the volume voided is vitally important. Voided volumes of at least 150 ml have been reported to be necessary for the “accuracy” of the study.”

Uroflowmetry test is shown also in the following clinical guidelines: Benign Prostatic Hyperplasia: Surgical Management of Benign Prostatic Hyperplasia/Lower Urinary Tract Symptoms (2018, amended 2019, 2020):

Clinicians should consider uroflowmetry prior to surgical intervention for LUTS attributed to
BPH.

Conventional in-clinic Uroflow
In-clinic “old school” flow rate test

Uroflow, or Uroflowmetry is a test to measure the flow (rate) of micturition. During the test, the uroflow device, a Uroflowmeter, tracks urine flow in mL/sec. It reports Urination volume, meaning, how much urine flows out. It is that simple. Urination Time in seconds, means, How long it takes to urinate.

Uroflow CPT Code

The Urine flow test – CPT Code is: 51741
The test can be performed by an assistant or nurse.
Source

An example of per patient calculation according to Laborie. If Doctor performs also Complex CMG with Voiding Pressure Study, and EMG, and Voiding Pressure Test. For instance:

PROCEDURE2019 CPT CODEREIMBURSEMENT CALCULATION
Complex CMG with Voiding Pressure Study51728$327.60 @ 100%
Uroflow51741-51$16.15 @ 50%
EMG51784-51$71.28 @ 50%
Voiding Pressure Test51797*$116.64 @ 100%

iUFlow Home Uroflow vs. in clinic Uroflowmeter

As you already know, this is normally a bother. iUFlow Uroflowmeter is the solution to get more accurate data about your bladder behavior.

iUFlow is a wireless and disposable Uroflowmeter

iUFlow is a Uroflowmeter for home use. iUFlow uses built-in sensors to objectively measure volume, multi flow rates and frequency of a patient’s voiding activities during a prescribed interval. An easy urine Uroflowmetry test at home.

iUFlow uroflowmeter at home illustration

Yes, iUFlow was designed to make your patients’ life easier. iUFlow was built especially for patients who suffer from BPH, Overactive bladder, Nocturia, Pelvic floor related issues, or other LUTS.

How to Report Home Uroflow? What is the CPT code?

Can I bill for interpretation of home tests?

There was a discussion on that in the AUAnet blogs. It seems reasonable to choose CPT 51741 with modifier 26 one or two times. But, there is a risk that insurers deny reporting of a single CPT multiple times in one day. As an alternative, if you are receiving a series of tests and that takes more than 30 mins of clinician time. That is including discussing the results with the patient, then you should consider using CPT code 99091.

To clarify, practice can not bill for both the uroflow interpretation (51741-26) and collection and interpretation (99091) on the same patient same day. Alternatively, one can have the patient bring in the results of their uroflow tests and use it as part of the “data” section for medical decision for a follow-up managment visit.  

Read more on Home Uroflow codes and billing at AUAnet.

iUFlow dashboard clinician view of results clinical guidelines
iUFlow dashboard

How a busy Sydney practice is utilizing iUFlow Uroflowmeter and dashboard.

Feel free to contact us for more information regarding iUFlow.
iUFlow Overview

How to read Uroflow results?

What is Uroflow?

Uroflow vs. Uroflowmeter vs. Uroflowmetry vs. ?

Firstly, yes it is a bit confusing. But, these are all the same. Uroflowmetry is a diagnostic assessment of the urinary tract functionality. Your Urologist or physical therapist suggest performing a uroflow test, in case they suspect that you are suffering while urinating, or have a weak flow rate (stream).

Uroflow, or Uroflowmetry is a test to measure the flow (rate) of micturition. During the test, the uroflow device, a Uroflowmeter, tracks urine flow in mL/sec. It reports Urination volume, meaning, how much urine flows out. It is that simple. Urination Time in seconds, means, How long it takes to urinate.

boy urine flow rate

Interpretation of uroflowmetry results

What is Qmax?

While we measure the total volume of the urination is in mL (milliliter), the flow rate is measured in mL/second, and the Qmax is the value of the highest flow rate measured during the test. In other words, Qmax is the fastest stream measured in mL/s.

Weak flow = Low Qmax

Slow urination speed = Low Qmax

Flat urination chart = Low Qmax

What is Qmax illustration of Uroflow results

The image above shows a curve with a changing flow to illustrate TQmax, Flow time and Qmax values. If you identify a high Qmax, it is unlikely to be a curve from someone with a blockage or obstruction of the urinary tract and weak flow.

Low Qmax value is commonly a sign of obstruction. It is a common symptom of BPH. In men – Benign prostatic hypertrophy. Enlargement of the prostate gland, or block of the urethra. Also, it can point to another abnormality related to the Lower Urinary Tract.

QmaxInterpretation *
is higher than 15ml/secNormal
10-15ml/secEquivocal
is lower than 10ml/secObstruction or weak detrusor
General ‘rule of thumb’ interpretation. Please advise your doctor.

Can you describe the normal flow rate of urine?

Visually it is a bell-shape-like chart. During normal voiding, the initial stream starts slowly. It accelerates until the bladder is almost empty. The flow then slows until the bladder is empty. In patients with a urinary tract obstruction, this pattern of urine flow is changed, and increases and decreases more slowly.

Normal Flow rate illustration (tap)

How exactly is a urine flow test performed?

In a clinic, with the conventional method, a nurse will ask you to urinate into a funnel-shaped container placed on a scale-like electronic device. It is important to know that you can not put any toilet paper in the toilet or device.

After your bladder is full, you’ll need to pee normally without manipulating the speed. A conventional electric uroflowmeter hooked up to the toilet record the flow rate and quantity of urination. And of course, never urinate until the machine is on and ready.

Conventional in-clinic Uroflow
Conventional in-clinic Uroflow

Then, when you’ve finished the machine will send or print your results to your doctor. The uroflow test can help the doctor in identifying the causes of urinary difficulties.

iUFlow Uroflowmeter vs. in clinic Uroflow

As you may noticed, this is normally a bother, iUFlow Uroflowmeter is the solution to get more accurate data about your bladder behavior.

iUFlow is a wireless and disposable uroflowmeter

iUFlow is a uroflowmeter for home use. iUFlow uses built-in sensors to easily and objectively measure volume, flow rates and frequency of a patient’s voiding activities during a prescribed interval. An easy urine Uroflowmetry test at home.

iUFlow uroflowmeter at home

Yes, iUFlow was designed to make life easier. iUFlow was built especially for those who suffer from BPH, Overactive bladder, Nocturia, Pelvic floor related issues, or other LUTS (Lower Urinary Tract Symptoms).

How do I get the measurements results of iUFlow? Can it measure Qmax and Volume?

Of course, the iUFlow Uroflowmeter syncs the result in real-time to the iUFlow Bladder Diary app (free and supported on both Android® and Apple® platforms) and iUFlow dashboard. So, your doctor can interpret the result at the same moment that the measurement is completed and bladder data is synced.

iUFlow portal
iUFlow dashboard

Feel free to contact us for more information regarding iUFlow or if you have any question about interpretation of uroflowmetry results.

4.9⭐ “I have been suffering from repeat UTIs and the doctor wanted me to monitor my urination frequency. So far, its been simply and easy to use and the data chart is great.”