Complete urodynamic evaluation of a patient with voiding dysfunction should encompass the storage as well as voiding function of the bladder and the continence/ flow-controlling zone of the urethra. Filling and voiding cystometry effectively depict the status of detrusor during the respective cycles. However, the status of the urethra cannot be directly measured by cystometry alone; nevertheless, it can provide indirect evidence for predicting incompetence during the stress phase (leak point pressures) and obstruction during the voiding phase (eg, pressure flow relations, Abrams-Griffiths number, detrusor-adjusted passive urethral resistance relation factor, obstruction coefficient) of the outlet. Fluoroscopic surveillance is often added to aid anatomic visualization of the urethra and, thus, the level of abnormality. However, the cost of set-up, radiation exposure, and obscure visualization in certain conditions are likely to limit its use. Urethral pressure profilometry (UPP) is the most direct method to measure urethral pressures during the filling and voiding phases. The concept of UPP is based on sound physical principles and has been well-researched ex vivo and in vivo. The principle is that during flow down a collapsible tube, there is a decrease in hydrostatic pressure across the site of any narrowing. Unlike the set-up of a videofluoroscopy unit, that of UPP is not elaborate, other than a special double/ triple lumen urethral pressure catheter and an additional pressure transducer. However, it does have a learning curve that is steeper than that of pressure flow study. Nevertheless, once understood, it is simple, reproducible, and accurate. In the current era, more enthusiasm and research are required in this field lest the technique be written off.