Teknik Uroflowmetry

Oleh :

dr. Putri Anindita

Teknik uroflowmetry yang paling sederhana dapat dilakukan dengan menampung jumlah urine dan kemudian menghitung waktu berkemih menggunakan stopwatch.

Saat ini telah tersedia berbagai macam alat uroflowmeter yang dapat digunakan untuk pengukuran yang lebih akurat. Alat yang lebih canggih bekerja berdasarkan peningkatan berat urin dalam waktu tertentu untuk menentukan kecepatan aliran urin.[1,4,13]

Persiapan Pasien

Sebelum dilakukan pemeriksaan, jelaskan alasan, tujuan, serta prosedur pemeriksaan kepada pasien. Ketika diberi penjelasan, pasien biasanya juga diminta mengisi frequency volume chart (FVC) atau catatan harian berkemih. Catatan ini minimal diisi 3 hari sebelum pemeriksaan.

Referensi

1. Gammie A, Drake MJ. The fundamentals of uroflowmetry practice, based on International Continence Society good urodynamic practices recommendations. Neurourol Urodyn. 2018 Aug;37(S6):S44-S49.
2. National Clinical Guideline Centre (UK). The Management of Lower Urinary Tract Symptoms in Men. London: Royal College of Physicians (UK); 2010.
3. Gratzke C, Bachmann A, Descazeaud A, Drake MJ, Madersbacher S, Mamoulakis C, Oelke M, Tikkinen KAO, Gravas S. EAU Guidelines on the Assessment of Non-neurogenic Male Lower Urinary Tract Symptoms including Benign Prostatic Obstruction. Eur Urol. 2015 Jun;67(6):1099-1109.
4. Chun K, Kim SJ, Cho ST. Noninvasive Medical Tools for Evaluating Voiding Pattern in Real Life. Int Neurourol J. 2017 Apr;21(Suppl 1):S10-16.
5. Jarvis TR, Chan L, Tse V. Practical uroflowmetry. BJU Int. 2012 Dec;110 Suppl 4:28-9.
6. Columbia University. Uroflowmetry. 2023. http://www.columbiaurology.org/staywell/document.php?id=38551
7. Tuck G, Rogers P. Patient information: Uroflowmetry and bladder scan. 2020. https://www.esht.nhs.uk/wp-content/uploads/2017/06/0459.pdf
8. Kuo HC. Interpretation of uroflowmetry. Incont Pelvic Floor Dysfunct. 2007;2: 51-55. http://www.tcs.org.tw/issue/Folder/1_2/1-2-51-55.pdf
9. Chang SJ, Yang SS. Do uroflowmetry and post - void residual urine tests necessary in children with primary nocturnal enuresis? Int Braz J Urol. 2018 Jul-Aug;44(4):805-811.
10. Yang SS, Chiang IN, Chang SJ. Interpretation of uroflowmetry and post void residual urine in children: Fundamental approach to pediatric non-neurogenic voiding dysfunction. Incont Pelvic Floor Dysfunct. 2012; 6(1): 9-12. http://www.tcs.org.tw/tcs_old/issue/Folder/6_1/02.pdf
11. McKertich K. Urodynamics. Australian Family Physician. 2011;40(6):389-391. https://www.racgp.org.au/download/documents/AFP/2011/June/201106mckertich.pdf
12. BlSchneider T, Rübben H, Michel MC. The medication-induced dysfunction of the urinary bladder. Urologe A. 2003 Dec;42(12):1588-93.
13. Gill BC. Urodynamic studies for urinary incontinence. 2019. https://emedicine.medscape.com/article/1988665-overview#a10
14. Yao M, Simoes A. Urodynamic Testing and Interpretation. [Updated 2022 Aug 8]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK562310/
15. Sorel MR, Reitsma HJB, Rosier PFWM, et al. Uroflowmetry in healthy women: A systematic review. Neurology and Urodynamics. 2017; 36(4):953-959. https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23051
16. Malde S, Nambiar AK, Umbach R, et al. Systematic review of the performance of noninvasive test in diagnosing bladder outlet obstruction in men with lower urinary tract symptoms. European Urology. 2017; 71: 391-402. https://uroweb.org/wp-content/uploads/Malde-S-et-al.-Eur-Urol-2016-713-391-402.-Systematic-Review-of-the-Performance-of-Noninvasive-Tests-in-Diagnosing-Bladder-Outlet-Obs.pdf
17. Erickson BA, Breyer BN, McAninch JW. The use of uroflowmetry to diagnose recurrent stricture after urethral reconstructive surgery. J Urol. 2010 Oct;184(4):1386-90.
18. Winters JC, Dmochowski RR, Goldman HB, et al. Adult urodynamics: AUA/SUFU guideline. 2012. https://www.auanet.org/guidelines/urodynamics-guideline#x3231

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Teknik Uroflowmetry

Referensi

Masuk atau Daftar