Home uroflowmetry – Looking beyond the single flow test

Home uroflowmetry (HUF) is a non-invasive method for assessing the lower urinary tract function by measuring urine flow rate and voided volume in a patient’s home, outside of a clinical setting. For this narrative review, relevant studies were identified through a targeted PubMed search and complemented by the authors’ clinical and research expertise. This review describes the innovational journey of HUF, from early funnel-based devices to the development of connected medical devices integrating artificial intelligence (AI) and digital bladder diaries. It also highlights how repeated measurements capture intra-individual variability in voiding, influenced by circadian rhythm and bladder filling, and compares the reliability and acceptability of home versus clinic-based testing. The review further outlines the potential clinical value of HUF in diagnosis and treatment decision-making, while noting the limited availability of outcome-based validation studies. Finally, the prospective directions are outlined, including technological advancements and the next steps required to achieve widespread clinical implementation.