Uroflowmetry is a diagnostic test that measures the speed and volume of urine flow during urination. It’s a non-invasive procedure that can help diagnose conditions that affect urinary function, such as an enlarged prostate or urinary tract obstruction. While uroflowmetry is a valuable tool for healthcare providers to diagnose and treat urinary disorders, there are several factors that can influence the results of the test. In this blog post, we will explore what factors can affect uroflowmetry results, what helps and what harms, and how to prepare for a uroflowmetry test.[3][4]
Table of Contents
Collection of all Q&A: UROFLOWMETRY: A comprehensive guide – preparation, factors, results, cost
- What conditions can uroflowmetry help diagnose?
- What factors affect the uroflowmetry test?
- Uroflowmetry BPH / BHP. Uroflowmetry for enlarged prostate. Uroflow procedure for enlarged prostate.
- Does urine flow decrease with age?
- How can you improve urine flow as you age?
- How to increase uroflow or what helps urine flow?
- Does alcohol affect urine flow?
- What foods increase urine flow?
- Why is urine flow slow? Why has my urine flow slowed down? What causes decrease in urine flow?
- Conclusion
What conditions can uroflowmetry help diagnose?
Uroflowmetry can help diagnose several conditions that affect urine flow, including[3][4]:
- Enlarged prostate (or benign prostatic hyperplasia / BPH).
- Urinary tract obstruction.
- Neurogenic bladder.
- Bladder outlet obstruction.
- Pelvic floor dysfunction
- Stones
- Strictures…
What factors affect the uroflowmetry test?
Several factors can affect the results of a uroflowmetry test, including[3][4]:
- Age: Urine flow may decrease with age due to changes in the urinary system. Age plays a significant role in urine flow. As we grow older, changes in the urinary system can lead to a decrease in urine flow. This is an important consideration when interpreting uroflowmetry results, as what may be normal for a younger individual may differ for an older person.
- Medications: Certain medications can affect urine flow, so it’s important to let your healthcare provider know what medications you’re taking.
- Hydration: Drinking enough fluids before the test is important to ensure a full bladder. According to the agreement among urologists, it is best to empty at least 150 ml for a valid test.
- Caffeine and alcohol: These substances can affect urine flow and should be avoided before the test.
- Urinary tract abnormalities: Congenital or acquired anomalies affect the flow of urine itself. For example we often see prolapsed/sagging pelvic organs in elderly women.
- Obstruction: Enlarged prostate, tumors, scar tissue, stones and constipation interfere with urine outflow. Let me add pregnancy to this category too. A baby puts pressure on the bladder and urethra.
- Urinary infections: Urinary infections affect the mucous membrane itself and thus the sensations and flow of urine. If you have an active UTI, it’s advisable to postpone the uroflowmetry test until the infection has been treated.
- Urinary Retention: In some cases, individuals may have difficulty fully emptying their bladder during urination, leading to residual urine remaining in the bladder. This can affect uroflowmetry results by altering flow rates and patterns.
- Urinary catheterization: Long-term catheterization of the bladder leads to changes in the urinary tract and infections. After removing the catheter, it is necessary to wait at least one to two weeks for the urinary tract to normalize and to obtain useful data. The use of various foreign objects in the urethra also does the same.
- Sexual intercourse: I can also add short time between the test and last sexual intercourse. Same as the last category.
- Recent Urinary Tract Procedures: If you’ve recently undergone urinary tract procedures such as already mentioned catheterization, cystoscopy, or surgery, it can impact uroflowmetry results. These interventions can temporarily affect bladder function and urine flow.
- Urinary incontinence: People with urinary incontinence are at increased risk of developing urinary tract infections. Incontinence can also be caused by prolapsed organs.
- Neurological diseases: Nerve conduction affects the function of urination. People with advanced Parkinson’s disease, multiple sclerosis and diabetes often have problems.
- Anxiety or Stress: Emotional factors like anxiety or stress can affect the ability to relax and urinate comfortably during the test. This may lead to suboptimal uroflowmetry results. It’s important to try and remain calm and relaxed during the test to obtain accurate measurements.
- Urinating in Public place: Many people have problems urinating in public. They pee better at home.
- Positioning during the test: The position you assume during the uroflowmetry test can influence the results. For example, sitting or standing posture, as well as body position, can affect urine flow. It’s important to follow the instructions provided by your healthcare provider regarding the appropriate positioning for the test. It is preferable that uroflowmetry is performed in the position in which you usually urinate.
- And more (Check out our other articles).
Uroflowmetry BPH / BHP. Uroflowmetry for enlarged prostate. Uroflow procedure for enlarged prostate.
Uroflowmetry is a useful tool in diagnosing an enlarged prostate or BPE / BPH. The test measures the volume and speed of urine flow, which can indicate whether the prostate is obstructing the flow of urine. If the test results indicate an obstruction, further testing or treatment options may be recommended.[1]
Does urine flow decrease with age?
Yes, urine flow can decrease with age due to changes in the urinary system[3][4]. As people age, the muscles in the bladder and urethra can weaken, leading to slower urine flow and difficulty emptying the bladder completely. This can increase the risk of urinary tract infections and other urinary problems. Also read: What factors affect the uroflowmetry test?
How can you improve urine flow as you age?
There are several things you can do to help improve urine flow as you age. Please read: How to increase uroflow or what helps urine flow?
How to increase uroflow or what helps urine flow?
There are several things you can do to help improve urine flow, including[3][4]:
- Staying hydrated: Drinking enough fluids can help ensure a full bladder and improve urine flow.
- Kegel exercises: These exercises can help strengthen the pelvic floor muscles, which can improve urine flow[1][2].
- Medications: Certain medications can help improve urine flow in people with an enlarged prostate or other urinary conditions.
- Maintain a healthy weight: Excess weight can put pressure on the bladder and urethra, affecting urine flow.
- And other (Check out our other articles)…
Does alcohol affect urine flow?
Yes, alcohol can affect urine flow by increasing urine production and decreasing bladder control[3][4]. It’s best to avoid alcohol before a uroflowmetry test to ensure accurate results.
What foods increase urine flow?
There are several foods that can help increase urine flow, including:
- Watermelon: This fruit is high in water content and can help increase urine production.
- Celery: This vegetable can help improve urine flow by increasing urine production.
- Cranberry juice: This juice can help improve urinary tract health and prevent urinary tract infections, which can affect urine flow.
Why is urine flow slow? Why has my urine flow slowed down? What causes decrease in urine flow?
Several factors can cause a decrease in urine flow[3][4], including:
- Enlarged prostate or BPE / BPH.
- Urinary tract obstruction.
- Neurogenic bladder.
- Bladder outlet obstruction.
- Pelvic floor dysfunction.
- Foreign body and more (Check out our other articles).
Conclusion
In conclusion, uroflowmetry is a valuable diagnostic test that can help diagnose and treat conditions affecting urinary function. However, there are several factors that can affect the results of the test, including hydration levels, medications, and certain medical conditions. By understanding what helps and what harms, and how to prepare for a uroflowmetry test, you can ensure that you receive accurate results and appropriate treatment for any urinary conditions. If you’re experiencing urinary symptoms or are concerned about your urinary health, talk to your healthcare provider about whether a uroflowmetry test is right for you and how to prepare for it. A little preparation can go a long way towards ensuring that you get the most accurate results from your uroflowmetry test.
References
- Chiang CH, Jiang YH, Kuo HC. Therapeutic efficacy of biofeedback pelvic floor muscle exercise in women with dysfunctional voiding. Sci Rep. 2021 Jul 2;11(1):13757. doi: 10.1038/s41598-021-93283-9. PMID: 34215820; PMCID: PMC8253800.
- Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494. doi: 10.1007/s00404-023-06930-z. Epub 2023 Jan 25. PMID: 36695900; PMCID: PMC9875757.
- EAU Guidelines: Management of Non-neurogenic Male LUTS
- EAU Guidelines: Non-neurogenic Female LUTS