Related Experiment Video
Updated: Jul 19, 2025
06:46
Author Spotlight: Enhanced Urodynamic Method for Precise Urine Measurement in Awake Mice with Neurogenic Bladder
Published on: June 7, 2024
745
AUA White Paper on Implementation of Shared Decision Making into Urological Practice
Danil V Makarov1, Kristin Chrouser1, John L Gore1
1American Urological Association Education and Research Inc., Linthicum, Maryland.
Urology Practice
|August 18, 2023
Summary
Shared decision making (SDM) enhances patient care by aligning medical choices with personal values and evidence. Urologists should integrate SDM into practice for improved patient knowledge, satisfaction, and engagement.
Area of Science:
- Urology
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision making (SDM) is a collaborative healthcare model.
- It aims to improve medical decisions by integrating patient values with scientific evidence.
- SDM enhances the quality of care and patient outcomes.
Purpose of the Study:
- To educate the urological community on shared decision making and decision aids.
- To review the current state of SDM in urological conditions.
- To promote the adoption of SDM in clinical practice.
Main Methods:
- A literature review of publications from 2003-2014 on SDM and decision aids in urology.
- Convening an expert panel to evaluate reviewed literature.
- Development of a white paper to disseminate findings.
Main Results:
- Shared decision making is the current standard in patient counseling.
- Patients engaged in SDM demonstrate increased knowledge, satisfaction, and care engagement.
- Free resources, including decision aids, are available for SDM implementation.
Conclusions:
- Shared decision making is crucial for high-quality healthcare delivery and future reimbursement.
- Urologists are encouraged to adopt SDM into routine clinical practice.
- SDM supports informed patient choices and better health outcomes.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10
01:30Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
53
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
53
01:19Urodynamic Studies: Uroflowmetry
83
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
83
01:28Urinary Tract Calculi V: Nursing Management
14
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
14
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
55
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
55