Hypothesis / aims of study
Comparing urine flow tests performed at the clinic with the actual urination at home, there can be a mental burden and straining of urine that can affect the test results. In particular, it was confirmed that the amount of urination during a urine flow test can be increased if there is mental motivation as a factor that cannot be ignored, especially the psychological state. Therefore, the behavior of urination may vary according to various situations, especially the psychological state of the patient, so the results should be interpreted in consideration of the fact that various results may be shown during the urine. The need for a comfortable, convenient, and even portable, home-based device has led to the development of novel uroflowmetry technology. These advancements include soundbased uroflowmetry, optical uroflowmetry, and video-based voiding devices. This study aimed to evaluate the accuracy and reliability of a new smartphone-based acoustic voiding volume measurement application compared to conventional ultrasound bladder volume scanner.
Study design, materials and methods
A total of 12 subjects from September 2020 to March 2021 were prospectively enrolled with informed consent to compare novel acoustic voiding volume measurement to conventional ultrasound bladder volume scanner. 2 subjects were excluded their measurement do not meet our standard of sound quality (i.e. voiding in environment with very loud fan noise, voiding to the wall, door slams). Finally, 10 patients with 50 voiding measurements were included for analysis. The value measured before urination by bladder scanner (A), the value measured after urination by bladder scanner (B), and the value of voided volume measured by smartphone-based acoustic voiding volume measurement mobile application (C) were compared between the 2 techniques. Reliability and accuracy of the voided volume results were compared using Pearson correlation coefficient, and student t-test, respectively.
Interpretation of results
Authors evaluated to see how much the absolute value of the difference between A and B is consistent with C. In our previous study, we introduced a smartphone-based UFM device using acoustic analysis and reported a result comparable to that of contemporary office-based UFM. The current novel acoustic voided volume measurement mobile application can alleviate patients’ mental burden to void well in the clinic and check real-time status of voiding whenever they hope. Our results showed a strong correlation between acoustic and standard bladder scanner regarding real voided volume.