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Choosing Wisely Canada

Canadian Urological Association - Canadian Medical Association - University of Toronto

Studies suggest that asymptomatic bacteriuria in the elderly does not carry significant risk of morbidity if left untreated. Antimicrobial treatment studies for asymptomatic bacteriuria in older adults demonstrate no benefits and show increased adverse antimicrobial effects. Consensus criteria has been developed to characterize the specific clinical symptoms that, when associated with bacteriuria, define urinary tract infection. Screening for and treatment of asymptomatic bacteriuria is ...

Choosing Wisely Canada

Canadian Urological Association - Canadian Medical Association - University of Toronto

While testosterone treatment may increase sexual interest, there appears to be no significant influence on erectile function in men with normal testosterone levels.

Choosing Wisely Canada

Canadian Urological Association - Canadian Medical Association - University of Toronto

In the evaluation of men with erectile dysfunction, testosterone should only be ordered if there are signs and/or symptoms of hypogonadism.

Choosing Wisely Canada

Canadian Urological Association - Canadian Medical Association - University of Toronto

Low-risk patients (defined by D’Amico criteria and National Comprehensive Cancer Network guidelines) are unlikely to have metastatic disease. Accordingly, imaging is generally unnecessary in patients with newly diagnosed prostate cancer who have a PSA <20.0 ng/mL and a Gleason score 6 or less unless the patient’s history or clinical examination suggests distant disease. Metastases are much more likely in high-grade disease that is characterized by fast and aggressive growth into ...

Choosing Wisely Canada

Canadian Society for Transfusion Medicine - Canadian Medical Association - University of Toronto

Patients requiring non-emergent reversal of warfarin can often be treated with vitamin K or by discontinuing the warfarin therapy. Prothrombin complex concentrates should only be used for patients with serious bleeding or for those who need urgent surgery. Plasma should only be used in this setting if prothrombin complex concentrates are not available or are contraindicated.