Tag: Uroflowmetry

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.

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.”

Weak Urine Flow? a sign of BPH for men, or Cystocele? Better approach

Slow starting or problems with keeping a steady flow stream affect women and men.

The common cause of weak urine flow in men is BPH. BPH is Benign prostatic hyperplasia. In many cases, weak stream is a symptom of a bladder that isn’t emptying normally. In the case of BPH, the enlarged prostate causing a partial block of the tube that carries urine out of the penis (the Urethra). A ‘slow’ Uroflowmetry chart (Qmax) is commonly a clear sign. It is a visualization of a weak urine flow rate.

Weak urine flow ratelow Qmax
Slow urination low Qmax

Weak Urine Flow, slow flow rate? Let’s talk about that

Unstressed muscles can cause the bladder to not fully discharge. Suffering from a disease related to the nervous system? For example: Parkinson’s or MS (Multiple Sclerosis) the risk is higher for bladder and urination issues.

iUFlow BPH description

Bladder Prolapse

For women, bladder prolapse, or cystocele, is the main cause for urination flow issues. The bladder leaks and bulges through the pelvic floor muscles into the vagina.

Other bladder related situations can point to incontinence, overactive bladder (OAB), UTI and kidney malfunctioning.

If you’re suffering from symptoms like: painful urination, cloudy urine or blood in your urine > these are clearly a sign to call for help.

Your Urologist or Physical therapist in clinic will likely be interested to get objective data about your bladder behavior – in the form of a bladder diary and Uroflow test. With the iUFlow device and app, you can come prepared and provide both accurately. This can make the diagnosis process to be much shorter and more precise.

iUFlow Urge Leakeage
Urination – difficulty with flow

Why is my urine stream not as strong?

Go with the Flow:

Check out the iUFlow app and get an iUFlow PRO urine flow monitoring device

iUFlow app
  1. Track your bladder with the iUFlow app and iUFlow PRO urine flow monitoring device
  2. Be active. Physical activity can prevent you from retaining urine.
  3. Kegel exercises.

Utilizing Home Uroflow in practice. Learn from Dr Delaney

Remote diagnosis and management of patients with Overactive bladder (OAB)

Utilizing iUFlow Home Uroflow.

iUFLow Urolfowmetery Dashboard results clinic view

Remote diagnosis and management of patients with Overactive bladder (OAB)

How to utilize iUFlow Home Uroflow?

Learn how a busy Sydney clinic is utilising a remote bladder monitoring platform (iUFlow home Uroflowmeter) for diagnosing and managing patients with overactive bladder. The webinar will show what iUFlow is, how it’s being used by Dr Danielle Delaney and how it can improve clinical care.


Dr Delaney specializes in General Urology including Functional Urology,
Stones, Endoscopic surgery, Urodynamics and Paediatric Urology.
North Shore Private Hospital, Castlecrag Private Hospital.

How a busy Sydney clinic is utilizing the iUFlow remote bladder monitoring platform (iUFlow home Uroflow) for managing patients with overactive bladder. The webinar was presenting what iUFlow urine flow meter is, how it’s being used by Dr Danielle Delaney’s clinic in Sydney and how iUFlow can improve clinical care.

Dr Delaney specializes in General Urology including Functional Urology,
Stones, Endoscopic surgery, Urodynamics and Paediatric Urology.
North Shore Private Hospital, Castlecrag Private Hospital.
Dr Delaney’s clinic address:
6 Carter St, Cammeray NSW 2062 Sydney, Australia
View Address

Doctor using iUFlow Uroflowmeter in practice

iUFlow dashboard – a remote management platform Utilizing Home Uroflow in a Sydney clinic

How PT and Urologists get real-time data on their patients’ progress.

Dr. Delaney’s lecture scripted:

All condition associated with LUTS need a Bladder Diary.

Any condition associated with lower urinary tract symptoms needs a bladder diary. What I’ve found with the iUFlow is that: normally, where compliance with the bladder diary is less than 50%. And that’s less than 50% of people actually even make any attempt.

Only < 10% would actually do an accurate Bladder Diary

But you know, I’d say, probably really less than 10% would actually do an accurate Bladder Diary in terms of everything they’ve drunk and everything they’ve peed in a 72-hour period. With iUFlow, I’m finding the compliance rate, for at least voided volumes is well over 50%. Like it’s probably close to 90% and then a lot of them are putting in all their fluids and their bowel function. So I’m finding that the accuracy of the data we’re getting is so much better. The patients find it really, really, easy to use. Because they don’t need to measure anything. They don’t really need to clean anything. And from my point of view, the reliability of the data and the compliance is much better.

I use it as a diagnostic tool

I use it for a lot of feedback as a diagnostic tool. It really improves diagnosis. Because we’re also getting them to void in their normal situation. So we’re getting a lot of that artifact that trying to get patients set up for a flow in the office. You know how they come in with a full bladder, and they’re not too urgent that the flow machine is actually ready for them to go at the right time. So we really get, superb quality data. We get the quantitative assessment of the volume and flow. And so I really think it gives me accuracy of diagnosis.

The amount of data you get over a week, might seem excessive initially. But once you get used to reading the report, really you can read it in less than a minute. And get a great picture of what’s going on.

Dr Danielle Delaney How to get

Utilizing iUFlow Home Uroflow meter in your practice

Contact us and get more info on the iUFlow healthcare provider program

What is iUFlow Home Uroflowmeter? Learn more