AUA Discusses Antimicrobials, PSA Testing in New Choosing Wisely Recommendations
The American Urological Association (AUA) has issued a new list of recommendations as part of the Choosing Wisely campaign. This is the second set of recommendations released by the AUA regarding specific tests or treatments that are commonly ordered, but are not always necessary in urology or urologic management.
The AUA hopes this new list will help support conversations between patients and physicians about what care is necessary and appropriate. Shortly after releasing its initial Choosing Wisely list, it became clear that additional topics needed to be addressed, and therefore the AUA began to work on a second list of recommendations.
The AUA 2015 evidence-based recommendations include the following:
- Don't prescribe antimicrobials to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection.
- Don't obtain computed tomography scan of the pelvis for asymptomatic men with low-risk clinically localized prostate cancer.
- Don't remove synthetic vaginal mesh in asymptomatic patients.
- Offer PSA testing for detecting prostate cancer only after engaging in shared decision-making.
- Don't diagnose microhematuria solely on the results of a urine dipstick (macroscopic urinalysis).
To learn more about the Choosing Wisely campaign and to view additional recommendation lists from other specialties, visit ChoosingWisely.org.