A prospective study of uroflowmetry in 100 patients with lower urinary tract symptoms

Vikram B. Gohil; Adhish V. Vyas; Dodiya Kinjal K.

doi:10.18203/2349-2902.isj20194438

Authors

Vikram B. Gohil Department of Surgery, Government Medical College, Bhavnagar, Gujarat, India
Adhish V. Vyas Department of Surgery, Government Medical College, Bhavnagar, Gujarat, India
Dodiya Kinjal K. Department of Surgery, Government Medical College, Bhavnagar, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20194438

Keywords:

Lower urinary tract symptoms, Uroflowmetry, BPH, Urethral stricture

Abstract

Background: Uroflowmetry is diagnostic procedure of various urinary tract diseases like urethral stricture, benign prostatic hyperplasia, neurogenic bladder, detrusor muscle overactivity by calculating the rate of urine expulsion against the time unit in second. Uroflowmetry is simple and non-invasive diagnostic method.

Methods: This is a prospective study of 100 cases which fulfil inclusion and exclusion criteria. After taking informed written consent of the patients, they have gone under uroflowmetry study by Urocap 3 uroflowmeter, and graphs were obtained and result analysed.

Results: Maximum number of patients has prolonged curve graph were diagnosed as benign prostate hypertrophy (BPH) (53%), dysfunctional voiding curve for detrusor overactivity (20%) intermittent flow curve for neurogenic bladder (7%), Box variety for urethral stricture (7%).

Conclusions: In present study we found that uroflowmetry is helpful in diagnosis of certain urological pathologies. Common lower urinary symptoms were burning micturition, frequency and difficulty in micturition. Age group from 50-70 years was often presented with bladder outflow obstruction. Uroflowmetry overall useful in diagnosis of BPH and urethral stricture which can be supported by ultrasonography of prostate with PVRV and RGU respectively to avoid other invasive and more difficult pressure or flow urodynamic study.

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References

Marin AM, Neamflu R, Calomfirescu N, Neamflu M, Vesa L, Belinski C, et al. The value of uroflow in evaluating LUTS (lower urinary tract symptoms) in men; ten years of experience. Roman J Urol. 2007;2(4):34-8.

Rodrigo P, Fernando J. Urodynamics and voiding dysfunction. In: Harken AH, Moore EE, eds. Abernathy’s Surgical Secrets. 7th ed. 2017: 452-454.

Madersbacher H. Urinary flow and flow pattern in paraplegics. Paraplegia. 1975;13:95-100.

Christopher C, Anand P, Scott M. Urodynamic study. Urodynamic made easy. 4th ed. Elsevier; 2009: 29-35.

Heesakkers JP, Vriesema JL. The role of urodynamics in the treatment of lower urinary tract symptoms in women. Curr Opin Urol. 2005;15(4):215-21.

Kumar V, Dhabalia JV, Nelivigi GG, Punia MS, Suryavanshi M. Age, gender, and voided volume dependency of peak urinary flow rate and Uroflowmetry nomogram in the Indian population. Indian J Urol. 2009;25(4):461-6.

Deepak S, Ponnusamy KS, Gunapriya R, Vijaylakshmi S, Vijaykumar J, Maria FY, et al. Correlation of Prostate Size and Uroflowmetry in Patients with Lower Urinary Tract Symptoms. J Clin Diagn Res. 2017;11(5):1-4.

Reynard JM, Yang Q, Donovan JL, Peters TJ, Schafer W, de la Rosette JJ, et al. The ICS-'BPH' Study: Uroflowmetry, lower urinary tract symptoms and bladder outlet obstruction. Br J Urol. 1998;82(5):619-23.

Sanjeev S, Ramneesh G, Ankit S, Sandeep S, Jasdeep S, Pulkit S. Experience with Uroflowmetry in Evaluation of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia. J Clin Diagn Res. 2014;8(4):1-3.

Yoo S, Lee Y, Park J, Cho SY, Cho MC. Voided volume in men with storage symptoms: Is it an unreliable test result or a sign of severe storage symptoms? PloS One. 2019J;14(1):e0207208.