Li Ming-Wei, Tsai Yao-Chou, Yang Stephen Shei-Dei, Pong Yuan-Hung, Tsai Yu-Ting, Tsai Vincent Fang-Sheng
Division of Urology, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.
School of Medicine, Tzu Chi University, Hualien, Taiwan.
Interact J Med Res. 2025 Jan 28;14:e66694. doi: 10.2196/66694.
Although uroflowmetry and bladder diaries are widely used for noninvasive evaluation of lower urinary tract symptoms, they still have limitations in diagnostic capability and users' convenience. The aim of this paper is to discuss potential solutions by reviewing (1) the evolution and current clinical use of uroflowmetry and bladder diary, including clinical guidelines, daily practice applications, and their historical development; (2) a growing trend toward using home devices with various technologies; and (3) a comprehensive comparison of the strengths and weaknesses of these home devices. In our opinion, the following points can be highlighted: (1) the emerging trend of using home devices can enhance diagnostic capabilities through repeated measurements and the convenience of at-home testing and (2) home devices, which provide both frequency-volume and uroflowmetry information, have the potential to transform the management of lower urinary tract symptoms.
尽管尿流率测定和膀胱日记被广泛用于下尿路症状的无创评估，但它们在诊断能力和用户便利性方面仍存在局限性。本文旨在通过回顾以下内容来探讨潜在的解决方案：（1）尿流率测定和膀胱日记的演变及当前临床应用，包括临床指南、日常实践应用及其历史发展；（2）使用具有各种技术的家用设备的增长趋势；（3）对这些家用设备优缺点的全面比较。我们认为，可以突出以下几点：（1）使用家用设备的新兴趋势可通过重复测量以及在家测试的便利性来提高诊断能力；（2）能够提供频率-尿量和尿流率信息的家用设备有可能改变下尿路症状的管理方式。
