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Neurourology and Urodynamics

Urodynamic Report Writer (URapp): A GPT-4o-Based App for Urodynamic Interpretation and Draft Report Generation

This study developed and validated the Urodynamic Report Writer App (URapp), a GPT-4o-based virtual assistant modeled on scientific literature and international urodynamic guidelines, fine-tuned under supervision by two expert urodynamicists using examinations from multiple referral centers, and evaluated by functional urology specialists on a 0-5 Likert scale, scoring high on interpretative accuracy (4.5 ± 0.2), explanation of urodynamic concepts (5.0 ± 0), adherence to evidence-based standards (4.8 ± 0.3), clarity and practicality of recommendations (4.2 ± 0.3), clinical relevance (3.8 ± 0.3), and diagnostic usefulness (3.5 ± 0.5), with all 100 consecutive urodynamic studies (median age 61 yr) receiving overall scores ≥4.