Appendix · New Jersey Urology · New Jersey
A. Common abbreviations Abbr.
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Abbr. |
Meaning |
Abbr. |
Meaning |
LUTS |
Lower urinary tract symptoms |
BPH |
Benign prostatic hyperplasia |
OAB |
Overactive bladder |
SUI |
Stress urinary incontinence |
PVR |
Post-void residual |
IPSS |
Intl. Prostate Symptom Score |
AUR |
Acute urinary retention |
TWOC |
Trial without catheter |
UroLift |
Prostatic urethral lift |
PAE |
Prostatic artery embolization |
InterStim |
Sacral neuromodulation (Medtronic) |
PNE |
Peripheral nerve evaluation |
TURP / ThuLEP |
TUR of prostate / thulium enucleation |
5-ARI |
5-alpha-reductase inhibitor |
TURBT |
TUR of bladder tumor |
NMIBC / MIBC |
Non-muscle / muscle-invasive bladder ca |
BCG |
Bacillus Calmette-Guérin |
CIS |
Carcinoma in situ |
UTUC |
Upper-tract urothelial carcinoma |
RCC / ccRCC |
Renal cell carcinoma / clear-cell RCC |
SWL / URS / PCNL |
Stone procedures |
MET |
Medical expulsive therapy |
ADT |
Androgen deprivation therapy |
ARPI |
Androgen-receptor pathway inhibitor |
mCSPC / mCRPC |
Metastatic castration-sensitive / -resistant |
nmCRPC |
Non-metastatic CRPC |
BCR |
Biochemical recurrence |
HRR |
Homologous recombination repair |
PARP |
Poly-ADP-ribose polymerase (inhibitor) |
PSMA |
Prostate-specific membrane antigen |
Lu-177 |
Lutetium-177 (Pluvicto) |
FDG |
Fluorodeoxyglucose (PET tracer) |
MSI / dMMR |
Microsatellite instability / MMR-deficient |
SRE |
Skeletal-related event |
irAE |
Immune-related adverse event |
MHT |
Menopausal hormone therapy |
GSM |
Genitourinary syndrome of menopause |
DEXA |
Bone density scan |
ONJ |
Osteonecrosis of the jaw |
GLP-1 |
Glucagon-like peptide-1 (agonist) |
CIC |
Clean intermittent catheterization |
IC/BPS |
Interstitial cystitis / bladder pain syndrome |
rUTI |
Recurrent urinary tract infection |
Estrace |
Vaginal estradiol cream |
DSD |
Detrusor-sphincter dyssynergia |
UDS |
Urodynamics |
DLPP |
Detrusor leak point pressure |
CP/CPPS |
Chronic prostatitis / chronic pelvic pain syndrome |
AD |
Autonomic dysreflexia |
DRE |
Digital rectal exam |
Item |
Rough reference (verify locally) |
Microhematuria threshold |
≥ 3 RBCs/HPF on microscopy (confirm — do not rely on the dipstick) |
Normal PVR |
Generally < ~50–100 mL; persistently > 300 mL is significant retention |
Stone spontaneous passage |
≤ 5 mm: ~70–80%; 5–10 mm: ~40–50%; > 10 mm: unlikely |
Torsion salvage window |
Near 100% < 6 h; ~70% at 6–12 h; ~20% at 12–24 h |
Ischemic priapism |
Emergency if > 4 hours |
Catheter sizing (adult) |
14–18 Fr routine; 20–24 Fr (3-way) for irrigation/clots. Balloon: sterile water, 10 mL |
5-ARI effect on PSA |
≈ 50% reduction after 6–12 months (double the value to interpret) |
IPSS bands |
Mild 0–7, Moderate 8–19, Severe 20–35 |
Normal Qmax (uroflow) |
> 15 mL/s (needs a voided volume > 150 mL to be valid) |
Dangerous storage pressure |
Detrusor leak point pressure > 40 cm H2O → upper-tract risk |
Castrate testosterone |
< 50 ng/dL (goal on ADT; many target < 20) |
Low testosterone threshold |
Total T < ~300 ng/dL on TWO early-morning draws, plus symptoms |
Testosterone therapy — hold for |
Hematocrit > ~54% |
BPH procedure by size (our practice) |
UroLift < 50 g; PAE > 50 g. PCNL for stones > 4 cm |
Semaglutide (Wegovy) titration |
0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg weekly, ~4 weeks per step |
Denosumab dosing (our practice: biosimilar) |
Every ADT patient: baseline DEXA + 60 mg SC q6 months. Every bone-mets patient: baseline DEXA + 120 mg SC every 12 weeks instead. All need dental clearance, calcium and vitamin D levels, and OTC calcium citrate + vitamin D3 gummies providing 1,200 mg calcium daily |
Recurrent UTI (our practice protocol) |
Hiprex 1 g BID (+ vitamin C 500 mg); vaginal estrogen (Estrace); reduced sugar; daily CIC irrigation with ~300 cc sterile/distilled water |
Antibiotic prophylaxis timing |
Within 60 minutes of incision; a single pre-op dose for most cases |
Take a FULL urologic history on every patient, every time — LUTS, hematuria, incontinence, sexual function, and PSA screening — regardless of why they came in. Patients do not volunteer these complaints. We are the urologists; if it walks in our door and leaves undiagnosed because nobody asked, that is on us (Chapter 1.4).
The ASC boundary: our surgery centers are same-day-discharge facilities and cannot take cases needing an overnight admission or an ICU bed. The septic patient with an obstructed, infected stone goes to the HOSPITAL for decompression plus inpatient sepsis care — never an ASC add-on (Chapter 2).
Recurrent UTI: antibiotics are not the solution. Prevent with Hiprex (+ vitamin C), vaginal estrogen (Estrace) for post-menopausal women, reduced sugar, and daily CIC bladder irrigation (~300 cc sterile/distilled water) — we do not use D-mannose, cranberry, or probiotics; reserve antibiotics for true symptomatic infection (Chapter 6).
BPH procedures: UroLift for glands < 50 g; PAE for glands > 50 g (our gold standard for large glands). We do not offer Rezūm or GreenLight/PVP. Alpha-blockers are a short-term bridge (≤ ~1 year), not lifelong therapy.
OAB: beta-3 agonists strongly preferred; anticholinergics used only very infrequently — we strongly advise against them (dementia, constipation, dry mouth, retention, falls). InterStim offered early for definitive relief.
Stones: URS with thulium laser, Dornier single-use digital scopes, and vacuum aspiration in the ASC treats even massive stones — PCNL reserved for stones > 4 cm; every URS patient is stented. Stent colic: Pyridium/Uro-MP + mirabegron. Non-narcotic pain: suzetrigine (Journavx).
Emergencies: torsion always gets a confirmatory Doppler ultrasound obtained in PARALLEL with mobilizing the OR. Priapism comes to the office immediately when it is open; if the office is closed, go to the ER. Treat it in the office or at the bedside (monitor, Dilaudid, penile block, 16-G angiocath, phenylephrine). It is almost never caused by a PDE5 inhibitor — think Trimix, sickle cell, cocaine. Gross hematuria with clots: start a 5-ARI immediately.
Prostate cancer: we do NOT use the DRE to evaluate for prostate cancer (insensitive, misses anterior/transition-zone tumors, deters screening) — we use PSA, PSA density, validated biomarkers, and multiparametric MRI. Focal therapy menu (HIFU, PEF/pulsed-field, water-vapor) plus Barrigel spacer with radiation. In-house infusion suites (Keytruda, Opdivo, ipilimumab; subcutaneous Keytruda Qlex) and pharmacy dispensing (Orgovyx, Xtandi, Erleada, Nubeqa).
ED: we do not use intraurethral alprostadil (MUSE). The ladder is PDE5 inhibitors → intracavernosal injection (Trimix) and VED → LISWT → penile prosthesis.
IC/BPS: first-line oral therapy is HYDROXYZINE + URO-MP. We do NOT use Elmiron (pentosan polysulfate — irreversible pigmentary maculopathy) and we do NOT use cyclosporine (too toxic for benign disease). Intravesical therapy is delivered ONLY at cystoscopy with hydrodistension (office or ASC) — no standalone instillation series (Chapter 27).
ABSOLUTE RULE: never perform a cystectomy with urinary diversion for BENIGN disease. The pain in IC/chronic pelvic pain is centrally sensitized — remove the bladder and the patient still hurts, but now with a lifelong diversion. Cystectomy is for cancer.
Bladder cancer intravesical menu: ZUSDURI (mitomycin intravesical solution) for recurrent LOW-grade intermediate-risk NMIBC — chemoablation without a TURBT. INLEXZO (gemcitabine intravesical system) for BCG-UNRESPONSIVE high-risk NMIBC with CIS — an indwelling releasing device placed in the office. Also Adstiladrin, Anktiva + BCG, pembrolizumab, gem/doce; Jelmyto for low-grade upper-tract disease (Chapter 9).
Immunotherapy: we run a lot of Keytruda, Opdivo, and Yervoy in-house. Any new symptom on a checkpoint inhibitor is an immune-related adverse event until proven otherwise — the “-itis” list (colitis, thyroiditis, hepatitis, pneumonitis, hypophysitis, nephritis, myocarditis). Treat with STEROIDS, not symptomatic remedies (Chapter 20.10).
Bone health: denosumab (biosimilar) is our drug of choice. Every ADT patient gets a baseline DEXA plus 60 mg q6 months; every patient with bone metastases gets a baseline DEXA plus 120 mg every 12 weeks instead. All denosumab patients need dental clearance, calcium and vitamin D levels, and OTC calcium citrate + vitamin D3 gummies providing 1,200 mg calcium daily. We do not use bisphosphonates as routine first-line therapy; Zometa is required when transitioning off denosumab. The exception: an ANABOLIC (romosozumab, teriparatide, abaloparatide) first-line for women with severe osteoporosis (T-score ≤ −3.0, recent or multiple fragility fractures) — always followed by denosumab to lock in the gains (Chapter 23.4).
Men's health: TRT formulation order is gel (1st, most physiologic), pellets (2nd), injections (last — the roller-coaster); we avoid oral testosterone (cost/coverage). Anastrozole to control estrogen when indicated. Enclomiphene when fertility must be preserved.
Other our practice technologies: Bulkamid and ProACT for incontinence; LISWT and penile prosthesis for ED; Optilume for urethral stricture; magnetic pelvic floor therapy; tibial neuromodulation (AltaViva).
AUA/SUFU Microhematuria (2025); AUA BPH/LUTS (2026); AUA/SUFU Idiopathic Overactive Bladder (2024).
NCCN Prostate Cancer (2026): mCSPC intensification and triplet therapy; SNMMI/NCCN PSMA PET appropriate-use criteria.
AUA Urologic Procedures and Antimicrobial Prophylaxis Best Practice Statement; AUA/SUFU Adult Urodynamics; AUA IC/BPS Guideline.
FDA labeling for Lu-177 PSMA-617 (Pluvicto), PARP-inhibitor combinations, denosumab, and semaglutide.
Important disclaimer This guide is an educational quick reference for orientation and study, tailored to New Jersey Urology's practice preferences. It is not a substitute for clinical judgment, direct supervision, institutional protocols, or the full text of current guidelines. Drug doses, hold times, and treatment algorithms — especially in oncology, anticoagulation, and weight management — must be verified against up-to-date sources and the treating physician's plan before use. Guidelines and approvals evolve; confirm the latest AUA/SUFU/NCCN/FDA recommendations. Procedural descriptions are a supplement to supervised hands-on training, never a substitute for it. |
The appendix is reference content, so this pathway is built as a lookup aid: work the track that matches what you are trying to find — decode an abbreviation, check a threshold, confirm what this practice actually does, or find the guideline behind a recommendation. Everything here is a quick reference, not a substitute for the chapter it came from.
Grouped the way they appear in clinic — find the domain first, then the abbreviation.
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Reference values sequenced by the question you are actually asking. All are rough — verify locally.
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The practice's stated positions in benign urology. When a recommendation elsewhere conflicts with these, these are what this practice does.
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We are the urologists; if it walks in our door and leaves undiagnosed because nobody asked, that is on us (Chapter 1.4).
Practice positions in urologic oncology and bone health, then the guideline touchpoints behind them and the disclaimer that governs all of it.
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An educational quick reference for orientation and study, tailored to New Jersey Urology's practice preferences.