Development of a Surgical Decision Aid for Patients with Nephrolithiasis: Shockwave Lithotripsy Ureteroscopy.

Shared decision making is recommended to guide medical/surgical treatment strategies. We aimed at developing a surgical decision aid (SDA) facilitating decision making between ureteroscopy (URS) or shockwave lithotripsy (SWL) in patients with symptomatic nephrolithiasis. The SDA scope was identified through discussions with patients and urologists in the Michigan Urological Surgery Improvement Collaborative (MUSIC).

Overtreatment and Underutilization of Watchful Waiting in Men With Limited Life Expectancy: An Analysis of the Michigan Urological Surgery Improvement Collaborative Registry.

Objective: To determine rates of watchful waiting (WW) vs treatment in prostate cancer (PCa) and limited life expectancy (LE) and assess determinants of management.

Materials And Methods: Patients diagnosed with PCa between 2012 and 2018 with <10 years LE were identified from the Michigan Urologic Surgery Improvement Collaborative registry. Multinomial logistic regression models were used to identify factors associated with management choice among NCCN low-risk PCa patients.

Urolithiasis: the influence of stone size on management.

Background: A 37-year-old female presented with pain in the right lower lateral abdomen. She had experienced a ureteral stone in the past.

Investigations: Serum electrolyte levels, blood urea nitrogen, serum creatinine level, full blood count, urinalysis, CT.