AUA White Paper on Nonneurogenic Chronic Urinary Retention: Consensus Definition, Treatment Algorithm, and Outcome End Points

No AccessJournal of UrologyAdult Urology1 Jul 2017AUA White Paper on Nonneurogenic Chronic Urinary Retention: Consensus Definition, Treatment Algorithm, and Outcome End Points John T. Stoffel, Andrew C. Peterson, Jaspreet S. Sandhu, Anne M. Suskind, John T. Wei, and Deborah J. Lightner John T. StoffelJohn T. Stoffel University of Michigan, Ann Arbor, Michigan More articles by this author , Andrew C. PetersonAndrew C. Peterson Duke University, Durham, North Carolina Financial and/or other relationship with AMS. More articles by this author , Jaspreet S. SandhuJaspreet S. Sandhu Memorial Sloan Kettering Hospital, New York, New York More articles by this author , Anne M. SuskindAnne M. Suskind University of Calfornia, San Francisco, San Francisco, California More articles by this author , John T. WeiJohn T. Wei University of Michigan, Ann Arbor, Michigan More articles by this author , and Deborah J. LightnerDeborah J. Lightner Mayo Clinic, Rochester, Minnesota More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.01.075AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The AUA (American Urological Association) QIPS (Quality Improvement and Patient Safety) committee created a white paper on the diagnosis and management of nonneurogenic chronic urinary retention. Materials and Methods: Recommendations for the white paper were based on a review of the literature and consensus expert opinion from the workgroup. Results: The workgroup defined nonneurogenic chronic urinary retention as an elevated post-void residual of greater than 300 mL that persisted for at least 6 months and documented on 2 or more separate occasions. It is proposed that chronic urinary retention should be categorized by risk (high vs low) and symptomatology (symptomatic versus asymptomatic). High risk chronic urinary retention was defined as hydronephrosis on imaging, stage 3 chronic kidney disease or recurrent culture proven urinary tract infection or urosepsis. Symptomatic chronic urinary retention was defined as subjectively moderate to severe urinary symptoms impacting quality of life and/or a recent history of catheterization. A treatment algorithm was developed predicated on stratifying patients with chronic urinary retention first by risk and then by symptoms. The proposed 4 primary outcomes that should be assessed to determine effectiveness of retention treatment are 1) symptom improvement, 2) risk reduction, 3) successful trial of voiding without catheterization, and 4) stability of symptoms and risk over time. 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Google Scholar © 2017 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byLerner L, McVary K, Barry M, Bixler B, Dahm P, Das A, Gandhi M, Kaplan S, Kohler T, Martin L, Parsons J, Roehrborn C, Stoffel J, Welliver C and Wilt T (2021) Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA GUIDELINE PART II—Surgical Evaluation and TreatmentJournal of Urology, VOL. 206, NO. 4, (818-826), Online publication date: 1-Oct-2021.Wein A (2020) Re: Spontaneous Voiding is Surprisingly Recoverable via Outlet Procedure in Men with Underactive Bladder and Documented Detrusor Underactivity on UrodynamicsJournal of Urology, VOL. 204, NO. 6, (1386-1387), Online publication date: 1-Dec-2020. Volume 198Issue 1July 2017Page: 153-160 Advertisement Copyright & Permissions© 2017 by American Urological Association Education and Research, Inc.Keywordstreatment outcomeurinary retentionAcknowledgmentsAUA staff members Jennifer Bertsch, Heddy Hubbard, Suzanne Pope and Victoria Wilder provided assistance with preparation of this white paper.MetricsAuthor Information John T. Stoffel University of Michigan, Ann Arbor, Michigan More articles by this author Andrew C. Peterson Duke University, Durham, North Carolina Financial and/or other relationship with AMS. More articles by this author Jaspreet S. Sandhu Memorial Sloan Kettering Hospital, New York, New York More articles by this author Anne M. Suskind University of Calfornia, San Francisco, San Francisco, California More articles by this author John T. Wei University of Michigan, Ann Arbor, Michigan More articles by this author Deborah J. Lightner Mayo Clinic, Rochester, Minnesota More articles by this author Expand All Advertisement PDF downloadLoading ...