Q: Interpret this uroflow metry A: Here is a detailed interpretation of this uroflowmetry report: --- Patient Details - Name: Hajarabanu Ansaree - Age: 39-year-old female - Date: 10/04/2026 - Institution: SVP – Sardar Vallabhbhai Patel Institute of Medicine, Urology Department --- Measured Parameters Parameter Value Normal Female --------- Voiding time 130 s — Flow time 98.2 s — Time to maximum flow 9.3 s — Maximum flow rate Qmax 22 ml/s 20–36 ml/s ✅ Volume at maximum flow 104 ml — Mean flow rate Qavg 2.9 ml/s — Total voided volume Vura 374 ml 150 ml ✅ Residual volume 0 ml 0 ✅ --- Flow Curve Interpretation Pattern: Irregular / Staccato-like with multiple peaks The flow curve shows multiple sharp peaks rather than a single smooth bell-shaped curve. This is a staccato or interrupted pattern, characterized by: - Repeated spikes in flow rate the jagged Qura curve - Flow intermittently dropping but not necessarily reaching zero staccato or reaching zero interrupted - Prolonged voiding time 130 s relative to actual flow time 98.2 s A normal uroflow should produce a smooth, single bell-shaped curve — Campbell-Walsh Wein Urology. --- Nomogram Interpretation Gutierrez-Segura Nomogram Qmax: The plotted point orange circle appears to fall in the lower-normal or borderline range for voided volume 374 ml. Liverpool Nomogram 1989: The plotted point blue cross appears to fall within normal limits for a female of this age/voided volume — Qmax 22 ml/s is acceptable. --- Key Clinical Observations 1. Qmax of 22 ml/s — within normal range for a 39-year-old female normal: 20–36 ml/s 2. Voided volume 374 ml — adequate 150 ml required for valid interpretation 3. Zero residual volume — complete bladder emptying, no retention 4. Prolonged voiding time vs. flow time — a gap of 32 seconds suggests hesitancy or intermittent flow 5. Staccato/irregular curve — suggests intermittent detrusor contraction or intermittent pelvic floor relaxation during voiding, which may indicate: - Dysfunctional voiding pelvic floor overactivity during micturition - Bladder outlet dysfunction - Possible Valsalva/abdominal straining assistance to void --- Summary Finding Interpretation ------ Qmax 22 ml/s Normal Voided volume 374 ml Adequate Residual volume 0 ml Normal — complete emptying Flow curve shape Abnormal — staccato/irregular pattern Voiding time Flow time Suggests hesitancy/intermittent flow Overall impression: The quantitative parameters Qmax, voided volume, residual are within acceptable limits, but the qualitative flow pattern is abnormal staccato/irregular, suggesting dysfunctional voiding — likely intermittent pelvic floor overactivity or detrusor-sphincter incoordination. This pattern in a 39-year-old female warrants clinical correlation with symptoms urgency, frequency, incomplete voiding sensation, UTIs and may benefit from video-urodynamics or pressure-flow studies for further characterisation if clinically indicated.
