Scott A. MacDiarmid, MD, FRCPSC, presents “Glean™ Modern Urodynamics.”
How to cite: MacDiarmid, Scott A. “Glean Modern Urodynamics.” Grand Rounds in Urology. Published September 30, 2025. Accessed Oct 2025. https://grandroundsinurology.com/glean-modern-urodynamics/
Glean™ Modern Urodynamics – Summary
Diane K. Newman, DNP, ANP-BC, FAAN, FAUNA, BCB-PMD, Senior Editorial Director, Grand Rounds in Urology, and Urology and Pelvic Floor Nurse Specialist, University of Pennsylvania, Philadelphia, Pennsylvania, Adjunct Professor of Surgery, Division of Urology, Perelman School of Medicine, Emerita, introduces Scott A. MacDiarmid, MD, FRCPSC, Alliance Urology Specialists, Greensboro, North Carolina. Dr. MacDiarmid describes the Glean™ Urodynamics Testing System, emphasizing that combining physician assessment with urodynamic testing provides a more accurate patient evaluation. He asserts that Glean™ offers a simplified, portable, and physiologic method for evaluating lower urinary tract symptoms (LUTS).
The system consists of a bladder sensor, a uroflowmeter, and a clinician-patient web application. Components communicate wirelessly via Bluetooth and cloud connectivity. Glean™ provides cystometrogram, urethral pressure profile, and pressure flow data without a catheter. It captures insertion-phase, ambulatory, and removal-phase measurements. Ambulatory monitoring allows real-world assessment of storage and voiding function over several hours.
Dr. MacDiarmid reviews key clinical applications, noting that the device identifies detrusor overactivity, stress incontinence events, and voiding pressures in natural settings. It allows dual assessment of leak point pressure during insertion and removal and stress leakage events during ambulation. Glean™ records flow, postvoid residual, and pressure-flow without catheter-associated discomfort.
The system may overcome practical barriers to conventional urodynamics, including the need for dedicated equipment, trained staff, and specialized space. Most patients report minimal discomfort. Dr. MacDiarmid proposes utilizing Glean in community and satellite clinics, increasing diagnostic precision for mixed incontinence, LUTS, and neurogenic bladder. He also suggests Glean as a replacement or complement to standard laboratory-based testing.
