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 Volunteer Opportunities for Residents and Young UrologistsĪUA Advanced Practice Provider of the Year Award
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