Development of an Integrated Mobile Application for Evaluating Voiding Dysfunction: A Proof of Concept Study

Bladder voiding diaries are an important part of evaluating and managing lower urinary tract symptoms but are subject to poor data quality and diary completion rates. Mobile health technology is increasingly prevalent and can help overcome the problems of traditional paper and electronic diaries.

We identified proof of concept design principles based on a literature review and needs assessment. An electronic application was developed to improve self-assessment and symptom management for patients with voiding dysfunction. We analyzed application distribution and use patterns for 12 consecutive months.

We designed an electronic application with complete mobile device integration containing a voiding diary, incontinence tracker and AUA Symptom Score questionnaire. Users could enter and modify details about the volume and frequency of voiding events, including leakage and pad use. Data could be electronically shared with providers. Integrating the application on the Apple® iOS and Android™ mobile operating systems eliminated the need for patients to carry or learn to use a separate device. During the 12-month study period 1,868 unique visitors from 18 countries downloaded the mobile application and made a total of 13,145 subsequent visits.

This application for evaluating voiding dysfunction leverages mobile technology to overcome the limits of paper and standalone electronic formats. Domestic and international users downloaded the application and consistently logged return visits. Using mobile health in urology practices may help patients and providers better manage lower urinary tract symptoms and achieve improved control.