American Urological Association Issues Four New Clinical Practice Guidelines

New guidelines to improve the quality of patient care published in The Journal of Urology®

Philadelphia, PA, October 24, 2012 – The American Urological Association (AUA) introduces new clinical guidelines for the treatment of Overactive Bladder, Urodynamics, Hematuria, and Vasectomy. The guidelines, which were developed using a rigorous 9-step process to synthesize and summarize the literature to determine the level and quality of evidence for a certain practice, are published in a supplement to the December issue of The Journal of Urology®. This supplement is freely and openly accessible at

“These guidelines are a great resource not only to AUA members, but also to physicians and patients worldwide,” says J. Stuart Wolf, Jr., MD, Chair, AUA Practice Guidelines Committee. “Some variation in treatment is appropriate for any number of reasons, but much of the variation in patient care is undesirable and reduces the quality of health care. The guidelines, if read carefully and applied to practice, will improve the quality of patient care.”

The new guideline on the diagnosis and treatment of overactive bladder is based on a systematic review commissioned by the Agency on Healthcare Research and Quality. It was produced by an 11-member collaborative multidisciplinary panel convened by the AUA and the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction. The collaboration also produced the guideline on adult urodynamics. This guideline elucidates the principles of selection and performance of urodynamic tests, based on the evidence in 393 published articles.

The guideline for the diagnosis, evaluation, and followup of asymptomatic microhematuria, in which red blood cells appear in urine and may be related to a number of conditions such as kidney stones or urinary tract infection, is useful to primary care physicians as well as urologists. This guideline is a revision of an earlier “best practice” document from the AUA. It reflects significant changes, including a reduction in the number of urinalyses required to determine need for evaluation, the preferred radiological imaging, and followup.

The AUA guideline on vasectomy was produced by a panel of eight, including a specialist in preventive medicine and a family medicine physician. The panel reviewed 284 articles published from 1949 to 2011. This guideline includes clear and concise statements that will help standardize and improve care for vasectomy patients by urologists and other vasectomy providers.

“It can be difficult to sift through the vast repository of clinical information to decide what the most cost- effective care is,” says journal Editor-in-Chief William D. Steers, MD. “I am proud that The Journal of Urology®serves as a platform to disseminate these valuable documents to the urological community in the United States and abroad.”

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Notes for editors

“2012 AUA Clinical Practice Guidelines,” The Journal of Urology, Volume 188, Issue 6, Supplement (December, 2012)



W. D. Steers


J. S. Wolf, Jr.

Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline

E. A Gormley, D. J. Lightner, K. L. Burgio, T. C. Chai, J. Q. Clemens, D. J. Culkin, A. K. Das, H. E. Foster, Jr., H. M. Scarpero, C. D. Tessier and S. P. Vasavada

Urodynamic Studies in Adults: AUA/SUFU Guideline

J. C. Winters, R. R. Dmochowski, H. G. Goldman, C. D. A. Herndon, K. C. Kobashi, S. R. Kraus, G. E. Lemack, V. W. Nitti, E. S. Rovner and A. J. Wein

Diagnosis, Evaluation and Followup of Asymptomatic Microhematuria in Adults: AUA Guideline

R. Davis, J. S. Jones, D. A. Barocas, E. P. Castle, E. K. Lang, R. J. Leveillee, E. M. Messing, S. C. Miller, A. C. Peterson, T. M. T. Turk and W. Weitzel

Vasectomy: AUA Guideline

I.D. Sharlip, A. M. Belker, S. Honig, MJ. Labrecque, J. L. Marmar, L. S. Ross, J. I. Sandlow and D. C. Sokal

Full text of the supplement is available to credentialed journalists upon request; contact Linda Gruner at +1-212-633-3923 or to obtain copies. To schedule an interview with the authors contact Wendy Waldsachs Isett, AUA, at +1-410-689-3789 or

About The Journal of Urology®

Established in 1917, The Journal of Urology ( is the official journal of the American Urological Association ( It is the most widely read and highly cited journal in the field. It brings to its readership all the clinically relevant information needed to stay at the forefront of this dynamic field. This top-ranking journal presents investigative studies on critical areas of research and practice, survey articles providing short condensations of the best and most important urology literature worldwide and practice-oriented reports on interesting clinical observations.

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