![]() ![]() Identify future areas of research for CUR.Propose outcome endpoints for patients with CUR.Propose diagnostic and treatment algorithms for these index populations.Characterize patients with CUR into clinically definable index populations in adult men and women (>18 years old).The American Urological Association (AUA) Quality Improvement and Patient Safety (QIPS) Committee has sought to address this knowledge gap related to CUR by creating a White Paper. Because CUR encompasses this wide clinical range of findings and potential morbidity, there are few consistent recommendations for practitioners on how to diagnose and manage patients with CUR in either primary or specialty care. On the other end, some patients with CUR develop severe urinary symptoms or complications and may even progress to end stage renal failure. On one end of the spectrum, CUR may present as an asymptomatic, incidental finding and patients who are not treated do not suffer morbidity. This variance in definitions complicates the understanding of the impact of CUR on patient safety and QOL. 3 The definition of CUR is also poorly documented for women. However, a recent report on CUR published by the US Department of Health and Human Services Agency for Healthcare Research and Quality (AHRQ) specifically mentions a lack of standardization in the literature regarding what PVR constitutes CUR, 2 with the literature using definitions of urinary retention with PVR volumes in men ranging from 100 mL to 1,000 mL. Instead, many practitioners use an elevated post void residual (PVR) measurement to make a CUR diagnosis. Consequently, it is important that clinicians identify patients with CUR at risk for morbidity but not expose all patients with CUR to costly and even potentially harmful interventions.ĬUR definitions using physical exam findings have been proposed but have had limited clinical adoption. ![]() 1 Medications and surgical procedures for reducing CUR can likewise cause temporary or permanent harm. Indwelling and intermittent catheterization can cause UTIs, urethral trauma, and negatively affect quality of life (QOL). However, not all patients with CUR necessarily require treatment, and for such patients, interventions can place them at risk for complications. Associated with either underactive bladder or chronic outlet obstruction, the condition is important because CUR can be associated with hydronephrosis, renal failure, chronic urinary tract infections (UTIs), urinary incontinence, and can lead to a complete inability to void. Non-neurogenic chronic urinary retention (CUR) can be challenging to diagnose and treat because there is no consensus on the criteria that define CUR. Jennifer Bertsch, Emma Hitt, PhD, ELS (Medical Writer), Heddy Hubbard, PhD, MPH, RN, FAAN, MS, Suzanne Pope, MBA, Victoria Wilder (Medical Librarian) Introduction John Stoffel, MD (Chair), Deborah Lightner, MD (Vice Chair), Andrew Peterson, MD, Jaspreet Sandhu, MD, Anne Suskind, MD, John Wei, MD AUA Staff Physician Scientist Residency Training Awards Resources for Coding and Reimbursement Processīoston Scientific Medical Student Innovation Fellowship Urology Scientific Mentoring and Research Training (USMART)īrandeis University’s Executive MBA for Physicians Section Meeting Request for Course of ChoiceĬonfidentiality Statement for Online EducationĪdvanced Practice Providers Speaker's BureauĪctivities for the AUA Leadership Program Urology Residency ProgramsĪdditional Fellowships for InternationalsĬontinuing Medical Education & AccreditationĪUA Continuing Education (CE) Mission Statement Transgender and Gender Diverse Patient CareĪccredited Listing of U.S. Request a Hands-on Urologic Ultrasound Course Training Guidelines for Urologic Ultrasound Urologic Ultrasound Practice Accreditation Practice Guideline for Urologic Ultrasound Young Urologists Annual Meeting Programming Young Urologists of the Year Award Winners Residents and Fellows Committee Teaching AwardĪUA Residents and Fellows Committee Teaching Award Residents and Fellows Committee Essay Contest In-Section Countries World Bank ClassificationĪUA Advanced Practice Provider of the Year Award International Member World Bank Classification Volunteer Opportunities for Residents and Young Urologists ![]()
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