A urination assistance device comprises an upper body interface portion defining a collection opening, and a medial flow-through portion mounted on the body interface element and defining a passage therethrough. The flow-through portion has opposite ends with opposite openings, and the passage is in fluid communication with the collection opening of the body interface portion. A lower exit portion is mounted on the flow-through portion and defines an exit opening for providing a hand hold for a user to grasp to extend the flow-through portion and establish a direction of urine exit from the device. In some embodiments, one portion selected from the body interface portion and the exit portion is receivable in another portion selected from the body interface portion and the exit portion, with the flow-through portion positioned between the one portion and the another portion. In some embodiments, the inner rim is substantially circular in shape.