Uroflowmetry is a frequently performed examination and diagnostic procedure in urology. It is used to measure the amount of urine excreted per second. Doctors can use this value to detect bladder emptying disorders and assess them more accurately. Uroflowmetry is also known as urine flow measurement.
Also as a therapy control after
- treatment of a bladder emptying disorder with medication or urethral
- an operation on the urethra or prostate
uroflowmetry is also used.
A uroflowmeter is used to measure urine flow. This is a measuring device with a funnel to collect the urine into which the patient urinates. The measuring device displays the results graphically as a urine flow curve.
Based on the height and course of this urinary flow curve, the urologist can draw conclusions about certain diseases such as
can be drawn.
The urine flow measurement records the following values:
- Total amount of urine emptied
- Duration of bladder emptying (micturition time)
- Maximum urinary flow rate (maximum flow)
- Average urinary flow rate
- urinary flow time
- flow rise time
- Graphical representation of the urinary flow curve
A urine flow measurement is usually carried out in the event of disorders and problems with bladder emptying (micturition). These include in particular
- Increased urination without an increased amount of urine (pollakiuria),
- painful urination (alguria),
- frequent urination at night(nocturia) and
- difficult urination (dysuria).
The latter is usually caused by an obstruction in the urethra or at the bladder outlet or by an enlarged prostate. Other indications for performing a uroflowmetry include symptoms such as
- a weakening of the urinary stream,
- prolonged urination,
- temporary cessation of urination and
- a residual urine sensation.
Uroflowmetry can be used to detect, among other things
- a urethral stricture (narrowing of the urethra),
- enlargement of the prostate,
- urinary retention and
- urinary incontinence
can be diagnosed or ruled out.
To carry out uroflowmetry, the patient urinates as normally as possible and without pressing hard into the funnel of the uroflowmeter until the bladder is completely empty. The patient's bladder should be filled with at least 150 ml of urine before the uroflowmetry.
There is a sensor at the lower passage of the funnel on the uroflowmeter that measures the amount of urine per unit of time.
The results of a uroflowmetry are displayed in a curve diagram © rumruay | AdobeStock
Following the uroflowmetry, the doctor usually uses ultrasound to check the amount of residual urine in the bladder. Any residual urine in the bladder is detected and precisely measured.
The maximum urine flow rate in a healthy adult is normally between 15 and 50 ml per second.
A maximum urine flow of less than 10 ml per second indicates an obstruction or blockage in the urethra. Values between 10 and 15 ml per second are also suspicious and require further clarification.
A urinary flow curve that deviates from the norm indicates certain clinical pictures. Enlargement of the prostate is indicated, for example, by
- a delayed increase,
- a delayed fall,
- a reduced peak of the curve and
- a prolonged duration of urination.
A steep rise in the urinary flow curve, on the other hand, may indicate a urethral stricture.