The measurment of urinary flow rate is clearly the most important objective screening test for evaluations of normal or abnormal urodynamics in the lower urinary tract.
The various types of flowmeters have been reported for this purpose. We have used mictiometer 14-F-40 in DISA urological investigation system which has been tested for its accuracy.
In this study 177 normal urinary flow curves in 8 adult males were statistically analysed using 10 parameters in the urinary flow curves.
The results obtained were as follows;
1. Maximum flow rate (MFR) increased propotionally with volumes below 200
ml
(
r
=0.8623, p<0.01), so that it is difficult to determine the normal range of MFR in these volumes. Therefore calculation of voided volume/MFR (caluculated minimal time of micturition) were enhanced. This normal range was calculated as less than 10 seconds. MFR were almost constant with volumes over 200ml (27.7±3.8ml/sec, mean±s. d.).
2. Average flow rate (AFR) increased propotionally with volumes below 250
ml
(
r
=0.8892, p<0.01) as MFR. With volumes over 250ml, AFR were almost constant. The variation of AFR were less pronounced than that of MFR (18.2±2.7ml/sec).
3. Increasing rate of micturition time was larger with volumes over 400ml than below 400ml. On the contrary time to maximum flow (T max.) was shortened with voided volume over 400ml.
4. Other parameters were less significant.
Cases with quite different urinary flow patterns or urinary flow profiles gave same values of parameters. Therefore, it is possible to give wrong interpretation when only one parameter is chosen for evaluation of micturition status. We emphasized that evaluation of urinary flow patterns itself was as important as measurements of parameters such as MFR, AFR, M. T., T. max. etc. for determination of normal or abnormal micturition.
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