The Nurse Practitioner in Urology: A Manual for Nurse Practitioners, Physician Assistants and Allied Healthcare Providers

552 Pages·2020·7.321 MB·English

by  Michelle Lajiness (editor), Susanne Quallich (editor)

The Nurse Practitioner
in Urology
A Manual for Nurse
Practitioners, Physician
Assistants and Allied
Healthcare Providers
Susanne A. Quallich
Michelle J. Lajiness
Editors
Second Edition
123
The Nurse Practitioner in Urology
Susanne A. Quallich • Michelle J. Lajiness
Editors
The Nurse Practitioner
in Urology
A Manual for Nurse Practitioners,
Physician Assistants and Allied
Healthcare Providers
Second Edition
Editors
Susanne A. Quallich Michelle J. Lajiness
Department of Urology Department of Urology
Michigan Medicine, University of Michigan University of Toledo Physicians Group
Ann Arbor, MI University of Toledo
USA Toledo, OH
USA
ISBN 978-3-030-45266-7 ISBN 978-3-030-45267-4 (eBook)
https://doi.org/10.1007/978-3-030-45267-4
© Springer Nature Switzerland AG 2020
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We dedicate this book to all our patients we
have worked with in the past. Our patients,
especially the most challenging ones, have
motivated and inspired us to look to the
literature and beyond to help manage their
conditions. Their patience with, and
perseverance through, their urologic
conditions has helped us to become better
clinicians.
We also thank the colleagues with whom we
have worked with over the years. Many of
them have encouraged us, mentored us, and
supported us as we pursued explanations to
those clinical questions that had unclear
answers.
Finally, we would not have succeeded
without our families. We offer heartfelt
thanks to our families for their support and
encouragement (and tech support) in
allowing us to spend many hours away from
them to encourage our professional growth.
SQ and SL
Introduction
We have been gratified by the response to the first edition of our book and are thank-
ful that its success has enabled us to proceed with a second edition. We continue to
be surprised and impressed by the number and skills of nurse practitioners and
physician assistants that have chosen to specialize in urology and their enthusiasm
for taking care of this group of patients. We have updated this book to include sev-
eral additional chapters to guide providers; highlights include preoperative and
postoperative management, LGBTQ matters in urology, basics of radiology, and an
introduction to pain management issues. Urology continues to offer countless
opportunities for NPs and PAs to blend medical and surgical care to meet the needs
of their patient population.
This book continues to function as a guide giving readers direction about indi-
vidual GU topics and provide other resources that will help further refine both
knowledge and skills from an advanced practice perspective. This book again high-
lights the pathophysiology, assessment, and diagnoses specific to GU conditions
and promotes advanced critical thinking. We still avoid recommending specific
medications and in-depth pathophysiology but may address classes of medications
as appropriate. This book is not a compendium of specific, detailed treatments for
patients with a specific urologic issue—these details can be found in a variety of
medical textbooks and journals.
There continues to be a lack of literature that describes or defines the role of NPs
and PAs in specialty environments, and urology is no different in this regard.
However, for those of us currently working with urology patients, it is clear that we
are not only moving into the care of GU patients but excelling in the management
of these patients, particularly those diagnoses that need chronic management and
are less amenable to surgical solutions. Our colleagues working in urology realize
that our roles are not restricted to providing access for general urology concerns, but
many specialize in urologic oncology, sexual dysfunction, incontinence, men’s
health urology, or stone disease.
Nurse practitioners and physician assistants are dynamic, adaptive, and vital pro-
viders that contribute to the care and management team of GU patients by improved
access, management of chronic GU conditions, and increased patient satisfaction.
This is becoming more important as the well-documented shortage of urologists
continues, coupled with the continued aging of the US population who will need
urologic care services.
vii
viii Introduction
We have a combined 40 years of experience as nurse practitioners working in
urology, and we have consulted several authors with a variety of specialties. We
hope that this book will give the reader insight into the rapidly expanding potential
for the NP and PA roles within outpatient and ambulatory care urology. It is our
hope that this book will continue to serve as an introduction and guide to nurse
practitioners and physician assistants to reach their potential and provide high-
quality, cost-effective care for adult urology patients.
Susanne A. Quallich
Division of Andrology, General and Community Health,
Department of Urology,
Michigan Medicine, University of Michigan,
Ann Arbor, MI, USA
Shelley Lajiness
Department of Urology,
University of Toledo Physicians Group
University of Toledo,
Toledo, OH, USA
Contents
1 Transitioning Pediatric Urology Patients
(and Their Families) to Adult Urology Care . . . . . . . . . . . . . . . . . . . . . . 1
MiChelle McGarry
2 Testosterone Deficiency Evaluation, Management,
and Treatment Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Kenneth A. Mitchell
3 Evaluation and Management of Common Scrotal Conditions . . . . . . . 37
Katherine Marchese
4 Erectile Dysfunction: Identification, Assessment, Treatment,
and Follow-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Penny Kaye Jensen and Jeffrey A. Albaugh
5 Benign Prostatic Hyperplasia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Gina M. Powley and Gail M. Briolat
6 Hematuria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Rebecca Thorne, Michelle J. Lajiness, and Susanne A. Quallich
7 Orchialgia and Urologic Chronic Pelvic Pain
Syndromes in Men . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Susanne A. Quallich
8 Kidney Stones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Marc M. Crisenbery and Suzanne T. Parsell
9 Idiopathic and Traumatic Male Urethral Strictures . . . . . . . . . . . . . . . 171
Yooni Yi, Silvia S. Maxwell, and Richard A. Santucci
10 Genitourinary Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Anna Faris and Yooni Yi
11 Diagnosis and Management of Urinary Tract Infections,
Asymptomatic Bacteriuria and Pyelonephritis . . . . . . . . . . . . . . . . . . . 201
Michelle J. Lajiness and Laura J. Hintz
ix
x Contents
12 Basics of Pre and Postoperative Management
Specific to Urology Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Tasha M. O. Carpenter, Marc M. Crisenbery,
and Michelle J. Lajiness
13 Neurogenic Bladder/Underactive Bladder . . . . . . . . . . . . . . . . . . . . . . . 251
Michelle J. Lajiness
14 Stress Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Natalie Gaines, John E. Lavin, and Jason P. Gilleran
15 Overactive Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287
Jennifer L. Mosher and Leslie Saltzstein Wooldridge
16 Problems in Female Urology: Interstitial
Cystitis/Bladder Pain Syndrome, Pelvic Floor
Disorders, and Pelvic Organ Prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . 309
Giulia I. Lane and Lindsey Cox
17 Diagnosis and Management of Localized Prostate Cancer . . . . . . . . . . 345
Brett Watson, Pamela Jones, and Jason Hafron
18 Bladder and Urothelial Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361
Anne Lizardi-Calvaresi, Staci Mitchell, and Julie Derossett
19 Kidney Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383
Brian Odom, Luke Edwards, and Jason Hafron
20 Neoplasms of the Penile and Testis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397
Sara Drummer, Hillary B. Durstein, and Susanne A. Quallich
21 Radiology in Urologic Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
Ahmed El-Zawahry
22 Procedures for the Nurse Practitioner in Urology . . . . . . . . . . . . . . . . . 429
Heather Schultz and Sarah R. Stanley
23 Pain Management and the Urology Patient . . . . . . . . . . . . . . . . . . . . . . 467
Susanne A. Quallich
24 LGBTQ Cultural Humility for the Urology Healthcare Provider . . . . 483
Elizabeth K. Kuzma and Brooke C. Acarregui Lehmann
25 The Medical/Nursing Expert Witness: A Primer
and Considerations for the Practitioner and the Profession . . . . . . . . . 513
Patrick J. Quallich
26 Special Topics for the Advanced Practice Provider in Urology . . . . . . 527
Roberto Navarrete, Miriam Hadj-Moussa, Susanne A. Quallich,
Michelle J. Lajiness, Kenneth A. Mitchell, and Katherine Marchese
Transitioning Pediatric Urology Patients 1
(and Their Families) to Adult Urology
Care
MiChelle McGarry
Contents
Introduction 2
Transitioning 5
Discussion of Specific Pediatric Genitourinary Conditions 7
Neurologic Conditions 7
Obstructive Uropathy 9
Bladder Exstrophy 10
Disorders of Sexual Development 10
Pediatric Urologic Cancer Survivors 10
Congenital Kidney and Urinary Tract Anomalies 11
Summary 12
Resources for the Nurse Practitioner 13
Resources for the Families 13
References 13
Objectives
1. Define transition care.
2. Illustrate specific barriers to transition care.
3. Discuss specific pediatric genitourinary conditions that require consideration for
transition care
4. Provide an overview of the unique care needs as patients transition to adult urol-
ogy providers
M. McGarry (*)
Pediatric Effective Elimination, Program Clinic & Consulting, PC, Littleton, CO, USA
e-mail: [email protected]
© Springer Nature Switzerland AG 2020 1
S. A. Quallich, M. J. Lajiness (eds.), The Nurse Practitioner in Urology,
https://doi.org/10.1007/978-3-030-45267-4_1