Almas Furkan, Dasdelen Muhammed Furkan, Seyhan Zuleyha, Sargolzaeimoghaddam Maral, Sarg Arya, Unlu Omer, Dasdelen Zehra Betul, Horuz Rahim, Albayrak Selami, Kocak Mehmet, Laguna Pilar, de la Rosette Jean
International School of Medicine, Istanbul Medipol University, 34810 Istanbul, Türkiye.
Department of Biostatistics and Medical Informatics, Istanbul Medipol University, 34810 Istanbul, Türkiye.
J Clin Med. 2024 May 12;13(10):2857. doi: 10.3390/jcm13102857.
LUTS and voiding dysfunctions are prevalent in urology clinics, with uroflowmetry and IPSS as the prevailing diagnostic methods. Nevertheless, objective assessment can be constrained by age, gender, and variability in the test conditions. Portable (home) uroflowmetry addresses these limitations, allowing for more natural urinary flow recordings beyond clinic confines. This study aims to characterize spontaneous voiding patterns in healthcare professionals, exploring gender differences, variability in repeated measurements, and correlations among voiding parameters, IPSS, age, and BMI. This cross-sectional study was conducted during the SIU 43rd Congress in Istanbul using smart uroflow devices such as the Oruba Oruflow Uroflow Recorder, which were installed in public toilets. A total of 431 healthcare professionals participated by providing demographic information and completing the IPSS questionnaire. The data analysis included uroflowmetric parameters such as maximum flow rate (Q), average flow rate (Q), and voided volume (VV), in addition to IPSS and demographic data to assess the possible associations with IPSS, age, BMI, and gender differences. Of the participants, 76% were male and 24% female, with a higher prevalence of LUTS in women. Despite no significant gender difference in voided volume, men with lower volumes demonstrated more severe LUTS. Notably, women exhibited higher Q and Q rates irrespective of their IPSS scores, contrasting with men whose flow rates declined with age and LUTS severity. In men, the total IPSS score was inversely associated with uroflowmetric performance, particularly impacting voiding symptoms over storage symptoms. Repeated measurements revealed noteworthy variability in Q and VV, without any influence from gender, BMI, age, or symptom severity. Our findings highlight the importance of gender-specific considerations in evaluating voiding complaints through uroflowmetry and IPSS. The significant variability observed in repeated uroflowmetry studies underlines the need for multiple measurements. Overall, this research emphasizes the significance of portable (home) uroflowmetry and calls for a reassessment of normal voiding standards in (non) clinical settings.
下尿路症状（LUTS）和排尿功能障碍在泌尿外科门诊很常见，尿流率测定和国际前列腺症状评分（IPSS）是主要的诊断方法。然而，客观评估可能会受到年龄、性别和测试条件变异性的限制。便携式（家庭）尿流率测定解决了这些局限性，能够在诊所范围之外进行更自然的尿流记录。本研究旨在描述医疗保健专业人员的自然排尿模式，探索性别差异、重复测量的变异性以及排尿参数、IPSS、年龄和体重指数（BMI）之间的相关性。这项横断面研究是在伊斯坦布尔举行的第43届国际泌尿外科学会（SIU）大会期间使用智能尿流设备（如Oruba Oruflow尿流记录仪）进行的，这些设备安装在公共厕所中。共有431名医疗保健专业人员参与，提供了人口统计学信息并完成了IPSS问卷。数据分析包括尿流率参数，如最大尿流率（Q）、平均尿流率（Q）和排尿量（VV），以及IPSS和人口统计学数据，以评估与IPSS、年龄、BMI和性别差异的可能关联。参与者中，76%为男性，24%为女性，女性LUTS患病率较高。尽管排尿量在性别上无显著差异，但排尿量较低的男性LUTS更严重。值得注意的是，无论IPSS评分如何，女性的Q和Q率都较高，这与男性不同，男性的尿流率随年龄和LUTS严重程度下降。在男性中，IPSS总分与尿流率测定表现呈负相关，对排尿症状的影响尤其大于储尿症状。重复测量显示Q和VV存在显著变异性，不受性别、BMI、年龄或症状严重程度的影响。我们的研究结果强调了在通过尿流率测定和IPSS评估排尿主诉时考虑性别差异的重要性。在重复尿流率测定研究中观察到的显著变异性强调了多次测量的必要性。总体而言，本研究强调了便携式（家庭）尿流率测定的重要性，并呼吁重新评估（非）临床环境中的正常排尿标准。
