Gökhan ECER,Erkan ARSLAN

  • Gökhan ECER: KONYA BEYHEKİM EĞİTİM ARAŞTIRMA HASTANESİ
  • Erkan ARSLAN: Necmettin Erbakan Üniversitesi Tıp Fakültesi
  •  Year : 2026
  •  Vol : 6
  •  Issue : 1
  •  Page : 42-49
The integration of artificial intelligence (AI) and wearable technologies into healthcare has driven significant progress in patient monitoring, especially in diagnosing and managing urological disorders. These innovations allow continuous, non-invasive, and patient friendly monitoring of bladder functions. In conditions such as urinary incontinence, neurogenic bladder, benign prostatic hyperplasia, and bladder outlet obstruction, conventional methods lack continuous tracking capabilities and may reduce patient comfort. This review assesses artificial intelligence integrated wearable systems, focusing on their technical features, clinical potential , accuracy , advantages , and limitations. Currently, systems using ultrasound, microwave, electrical bioimpedance, capacitive sensors, near-infrared spectroscopy (NIRS), electromyography (EMG), and optical sensors are under development. Integrated with artificial intelligencealgorithms, these technologies can track bladder filling, voiding time, and functional capacity with high accuracy in real time. This study systematically reviewed research from the past decade and compared devices based on clinical efficiency, usability, safety, and market availability. Ultrasound based devices are the most developed and commercially available among all technologies. Microwave and bioimpedance methods, however, remain experimental and require further validation. The analytical strength of artificial intelligence enhances the integration of these systems into clinical decision-making and supports personalized treatment approaches. Nevertheless, further prospective and randomized clinical studies are essential, particularly in pediatric, geriatric, and special patient populations. Ultrasound systems appear closest to clinical use, while microwave and bioimpedance technologies still demand more validation. artificial intelligence's data processing capabilities improve integration into clinical workflows and enable tailored patient care. Still, broader trials in varied patient groups are needed for widespread clinical implementation.
Conflict of interest : The authors declare that they have no conflict of interest.

This article is published under the CC BY-NC 4.0 license.
Mevlana Tıp Bilimleri
2026, Vol6, Issue1
E-ISSN: 2757-976X
Received : , Accepted : , Published Online :

References

  1. 1. Germini, F., et al., Accuracy and acceptability of wrist-wearable activity-tracking devices: systematic review of the literature. Journal of medical Internet research 2022. 24(1): p. e30791.
  2. 2. Olyanasab, A. and M.J.J.o.P.M. Annabestani, Leveraging Machine Learning for Personalized Wearable Biomedical Devices: A Review. Journal of personalized medicine 2024. 14(2): p. 203.
  3. 3. Hafid, A., et al., State of the art of non-invasive technologies for bladder monitoring: a scoping review. Sensors. 2023. 23(5): p. 2758.
  4. 4. Combes, R.D. and A.B.J.A.t.L.A. Shah, The use of in vivo, ex vivo, in vitro, computational models and volunteer studies in vision research and therapy, and their contribution to the Three Rs. 2016. Alternatives to Laboratory Animals 44(3): p. 187-238.
  5. 5. Patel, S., et al., A review of wearable sensors and systems with application in rehabilitation. Journal of neuroengineering and rehabilitation 2012. 9: p. 1-17.
  6. 6. Alpert, E.A., et al., Revolutionizing Bladder Health: Artificial-Intelligence-Powered Automatic Measurement of Bladder Volume Using Two-Dimensional Ultrasound. Diagnostics 2024. 14(16): p. 1829.
  7. 7. Nasrabadi, M.Z., et al., A comprehensive survey on non-invasive wearable bladder volume monitoring systems. Medical & biological engineering & computing 2021. 59: p. 1373-1402.
  8. 8. Costanzo, A., et al., Microwave devices for wearable sensors and IoT. Sensors 2023. 23(9): p. 4356.
  9. 9. Chen, M., et al., Artificial Intelligence‐Based Medical Sensors for Healthcare System. Advanced Sensor Research, 2024. 3(3): p. 2300009.
  10. 10. Shichitani, K., et al., A capacitive sensor that detects urination time and urine absorption volume in multiple urinations before changing a diaper. Transactions of Japanese Society for Medical and Biological Engineering 2022. 60(2-3): p. 61-67.
  11. 11. Masone, M.C.J.N.R.U., A wearable UBVM device to monitor bladder volume. Nature Reviews Urology 2024: p. 1-1.
  12. 12. Zhang, L., et al., A conformable phased-array ultrasound patch for bladder volume monitoring. Nature Electronics 2024. 7(1): p. 77-90.
  13. 13. Hofstetter, S., et al., Dfree ultrasonic sensor in supporting quality of life and patient satisfaction with bladder dysfunction. International Journal of Urological Nursing 2023. 17(1): p. 62-69.
  14. 14. Kim, J., et al., A wireless, implantable bioelectronic system for monitoring urinary bladder function following surgical recovery. Proceedings of the National Academy of Sciences, 2024. 121(14): p. e2400868121.
  15. 15. Toymus, A.T., et al., An integrated and flexible ultrasonic device for continuous bladder volume monitoring. Nature Communications, 2024. 15(1): p. 7216.
  16. 16. Jo, H.G., et al., Forward-looking ultrasound wearable scanner system for estimation of urinary bladder volume. Sensors, 2021. 21(16): p. 5445.
  17. 17. Tu, K.J., et al., A narrative review on the use of near-infrared spectroscopy to monitor bladder volume and in vitro validation approaches. Translational Andrology and Urology, 2023. 12(11): p. 1732.
  18. 18. Lee, S., et al., Wearable-Based Integrated System for In-Home Monitoring and Analysis of Nocturnal Enuresis. Sensors, 2024. 24(11): p. 3330.
  19. 19. Kuru, K., et al., Treatment of nocturnal enuresis using miniaturised smart mechatronics with artificial intelligence. IEEE Journal of Translational Engineering in Health and Medicine, 2023. 12: p. 204-214.
  20. 20. Song, Z., et al., Memory-efficient low-compute segmentation algorithms for bladder-monitoring smart ultrasound devices. Scientific Reports, 2023. 13(1): p. 16450.
  21. 21. Baran, B., et al., Application of machine learning algorithms to the discretization problem in wearable electrical tomography imaging for bladder tracking. Sensors, 2023. 23(3): p. 1553.
  22. 22. Amina, M., et al., Toward development of PreVoid alerting system for nocturnal enuresis patients: a fuzzy-based approach for determining the level of liquid encased in urinary bladder. Artificial intelligence in medicine, 2020. 106: p. 101819.
  23. 23. Kuru, K., et al., Feasibility study of intelligent autonomous determination of the bladder voiding need to treat bedwetting using ultrasound and smartphone ML techniques: Intelligent autonomous treatment of bedwetting. Medical & biological engineering & computing, 2019. 57: p. 1079-1097.
  24. 24. Van Leuteren, P., et al., URIKA, continuous ultrasound monitoring for the detection of a full bladder in children with dysfunctional voiding: a feasibility study. Biomedical Physics & Engineering Express, 2017. 3(1): p. 017005.
  25. 25. Palla, A., S. Rossi, and L. Fanucci, Bioimpedance based monitoring system for people with neurogenic dysfunction of the urinary bladder, in Assistive Technology. Assistive Technology, 2015, IOS Press. p. 892-896.
  26. 26. van Leuteren, P.G., A.J. Nieuwhof-Leppink, and P.J.J.o.P.U. Dik, SENS-U: clinical evaluation of a full-bladder notification–a pilot study. Journal of pediatric urology, 2019. 15(4): p. 381. e1-381. e5.
  27. 27. van Leuteren, P.G., et al., SENS-U: validation of a wearable ultrasonic bladder monitor in children during urodynamic studies. Journal of Pediatric Urology, 2018. 14(6): p. 569. e1-569. e6.
  28. 28. Shin, S.-c., et al. Continuous bladder volume monitoring system for wearable applications. in 2017 39th Annual international conference of the ieee engineering in medicine and biology society (EMBC). international conference of the ieee engineering in medicine and biology society (EMBC), 2017. IEEE.
  29. 29. Wang, Q., et al., Noninvasive urination-desire sensing method based on bladder bioimpedance spectrum analysis. Journal of Medical and Biological Engineering, 2016. 36: p. 191-196.
  30. 30. Li, R., et al., Preliminary study of assessing bladder urinary volume using electrical impedance tomography. Journal of Medical and Biological Engineering, 2016. 36: p. 71-79.
  31. 31. Leonhäuser, D., et al., Evaluation of electrical impedance tomography for determination of urinary bladder volume: comparison with standard ultrasound methods in healthy volunteers. Biomedical engineering online, 2018. 17: p. 1-13.
  32. 32. Noyori, S.S., et al. A small 8-electrode electrical impedance measurement device for urine volume estimation in the bladder. in 2021 43rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). 2021. IEEE.
  33. 33. Soebadi, M.A., et al., Wireless intravesical device for real-time bladder pressure measurement: Study of consecutive voiding in awake minipigs. PLoS One, 2019. 14(12): p. e0225821.