# MIETHKE vs HydroAssist

The clearest difference is rating: MIETHKE at 5.0 against HydroAssist's 4.1. MIETHKE also leads on review sentiment (100% vs 65%) and iOS requirement (11.0 vs 15.1). HydroAssist's advantage is ratings volume (27 vs 1) and update cadence (every 2 months vs every 5 months). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

MIETHKE holds the better App Store score, 5.0 against 4.1. That said, the two scores are not equally well evidenced: HydroAssist has 27 ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 100% of MIETHKE's written reviews are positive against 65% of HydroAssist's.

MIETHKE ships an update every 5 months, HydroAssist every 2 months. The most recent releases landed on October 23, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | MIETHKE | HydroAssist |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/miethke/id450290015/reviews)** | [4.1 (27 ratings)](https://appshunter.io/ios/app/hydroassist/id990362117/reviews) |
| Number of ratings | 1 | **27** |
| Positive reviews | **100.0% of reviews** | 64.7% of reviews |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 5 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 154 MB | 37 MB |
| Requires iOS | **11.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Miethke GmbH & Co. KG](https://appshunter.io/developer/450290018) | [Hydrocephalus Association](https://appshunter.io/developer/990362116) |

## What reviewers say

### MIETHKE

[App page](https://appshunter.io/ios/app/miethke/id450290015)

This application visually demonstrates how gravitational valves, used to treat hydrocephalus, function. It explains how body position affects valve opening pressure and includes an X-ray recognition tool for valve setting control. Various specific valve models are illustrated.

**Highlights:** Illustrates gravitational valve functionality, Explains body position impact on valve pressure, Includes X-ray recognition tool, Demonstrates multiple valve models, Visualizes hydrocephalus treatment principles

**Features:** macOS Compatibility

**In-app purchases:** none


### HydroAssist

[App page](https://appshunter.io/ios/app/hydroassist/id990362117)

This app allows individuals with hydrocephalus to securely store and access their complete medical treatment history, including surgeries, shunt settings, and symptom diaries. It also facilitates sharing this information with medical professionals and loved ones.

**Highlights:** Track surgeries and shunt settings, Log symptom history, Store imaging scans (MRI/CT), Manage important contacts, Export and share medical summaries, Find local physicians, Authorize loved ones for access

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is MIETHKE free?

MIETHKE is free to download, with no in-app purchases.

### Is HydroAssist free?

HydroAssist is free to download, with no in-app purchases.

### Which has better reviews, MIETHKE or HydroAssist?

MIETHKE is rated higher. MIETHKE averages 5.0 out of 5 from 1 ratings, while HydroAssist averages 4.1 from 27 ratings.

### Do MIETHKE or HydroAssist have ads?

Neither MIETHKE nor HydroAssist shows ads.

### Which is updated more often, MIETHKE or HydroAssist?

MIETHKE ships an update every 5 months, and HydroAssist every 2 months. Most recently, MIETHKE was updated on October 23, 2026 and HydroAssist on October 24, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*