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BPH

Articles in the Bladder Diaries journal tagged BPH, newest first.

A canal lock holds the water until the gate opens on a deliberate decision, the way a trial of void holds the catheter until the bladder can empty on its own
Bladder diary

Trial of Void Protocol After Surgery

A trial of void protocol is a catheter-removal decision with a pass number, not a checklist: thresholds, methods, and the surgery-by-surgery retention map.

Dr. Di Wu, MD, PT · 17 min read
A bladder scanner, like any precision instrument, is only as trustworthy as the technique that reads it
Bladder diary

How to Use a Bladder Scanner

A bladder scanner returns a number with false confidence: a late, off-midline, or wrong-preset scan manufactures a residual that derails the voiding workup.

Dr. Di Wu, MD, PT · 12 min read
The bladder outlet behaves like a tap: obstruction is resistance at the valve, not weakness in the pump behind it
Bladder diary

Bladder Outlet Obstruction: Prove It

Bladder outlet obstruction is the diagnosis a flow rate cannot make: low flow means a blocked outlet or a weak detrusor, and only pressure-flow separates them.

Dr. Di Wu, MD, PT · 12 min read
A steady stream shows the flow but not the force behind it, the core ambiguity in uroflowmetry interpretation
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Uroflowmetry Interpretation in Context

Uroflowmetry interpretation for clinicians: read flow curve, Qmax, and voided volume against the bladder diary and PVR, because a low Qmax is ambiguous.

Dr. Di Wu, MD, PT · 17 min read
Magnifying glass on documents: the close-reading discipline ICD-10 bladder outlet obstruction coding demands
Bladder diary

Bladder Outlet Obstruction ICD-10: N40.1 vs N32.0 vs N13.9

Bladder outlet obstruction ICD-10 coding: N40.1 for BPH, N32.0 for bladder-neck, N13.9 for unspecified, plus female BOO and post-prostatectomy stacks.

Dr. Di Wu, MD, PT · 27 min read
A handwritten inventory ledger: the same audit-defensible classification work that ICD-10 codes for urinary urgency perform
Bladder diary

ICD-10 Codes for Urinary Urgency: LUTS by 4Is Bucket

ICD-10 codes for urinary urgency: R39.15 for the symptom, N32.81 for OAB syndrome, N39.41 with leakage. The LUTS code menu organized by IPC 4Is buckets.

Dr. Di Wu, MD, PT · 24 min read
What remains in the glass after pouring is what post-void residual measures in the bladder after voiding
Bladder diary

Post-Void Residual: The Voiding-Impairment Gate-Check

Post-void residual is the singular gate-check on the Voiding axis: cutoffs, measurement pitfalls, the kegel caution, and the practical urology algorithm.

Dr. Di Wu, MD, PT · 24 min read
Pocket watch gears: the bladder's contractile mechanism is the difference between BPH and underactive bladder
Bladder diary

Underactive Bladder: A Diary-First Workup Before Urodynamics

Underactive bladder hides under BPH. The diary plus PVR is what tells you which bucket the patient sits in before urodynamics confirms it. Workup guide.

Dr. Di Wu, MD, PT · 20 min read
Clear graduated measuring glass: turning volume into a calibrated number, the same job a 3-day bladder diary performs
Bladder diary

Normal Capacity of the Bladder: Functional vs Anatomical

The 300-500 mL textbook range is anatomical capacity. The number that drives clinical decisions is functional capacity, read off a 3-day bladder diary.

Dr. Di Wu, MD, PT · 15 min read
An open spiral notebook: the recording artifact at the heart of bladder diary interpretation
Bladder diary

Bladder Diary Interpretation: The IPC 4Is Workflow

A 5-step bladder diary interpretation procedure for clinicians: completeness check, four core metrics, IPC 4Is mapping, symptom cross-check, decide.

Dr. Di Wu, MD, PT · 20 min read