Clinical Practice

Position Statement on Nurse Practitioners and Office Cystoscopy

SUNA supports nurse practitioners (NPs) performing office-based cystoscopy procedures (with training as outlined by Quallich et al. [2019]) as a vital way to address the need for access to quality urologic care. SUNA also acknowledges that in the past, NPs have been safely trained on-the-job to perform cystoscopy, but feels that moving forward, training can proceed with a more uniform, standardized approach.

Quallich et al. (2019) provide a template by which advanced providers can document education and training in order to expand their practice to include performing office cystoscopy. This template provides a guide for NPs in the United States to seek credentialing and privileging in order to move forward with offering cystoscopy as part of their clinical skills, and supports the Cystoscopy Workshop that SUNA offers at its national educational conferences.

Download the Position Statement

Download "Competencies for the Nurse Practitioner Working with Adult Urology Patients"

Quallich, S., Lajiness, S., Kovarik, J., Doran, T., Schultz, H., & Langston, J. (2019). Standardized office cystoscopy training for advanced practice providers in urology. Urology Practice, 10-1097.

White Papers on Optimizing Outcomes for Surgical Patients

SUNA collaborated with the American Urological Association on the development of three white papers on optimizing outcomes for patients before, during, and following urologic surgery:

Thank you to the following SUNA members who served as workgroup members or peer reviewers: Frances Foley, MHA, RN, CURN; Gwendolyn Hooper, PhD, APRN, CUNP; Michelle Lajiness, NP; Christopher Tucci, MS, RN, BC, CURN; Charlene Vollmer, BSN, RN-BC; and Glenda Wilkinson, BS, RN, CURN, CRLS, MLSO.

Joint White Paper on Reprocessing of Flexible Cystoscopes

SUNA and the American Urological Association (AUA) developed a Joint White Paper on Reprocessing of Flexible Cystoscopes. While office flexible cystoscopy has become a standard urology procedure, the flexible cystoscope is a complex instrument that requires reprocessing between patients. This white paper presents a brief overview of the current guidelines for reprocessing of flexible cystoscopes and highlights particular aspects of instrument reprocessing that are unique to cystoscopy. 

Updated ~ 2018

The paper was reviewed and updated in 2018. Workgroup Members included Jodi K. Maranchie, MD, FACS (Co-Chair); Paul Maroni, MD (Co-Chair); Ashely Heller, MPH, CIC; Majdee Islam, MD; Mary Louise Lee, RN; Jennifer Bertsch, Staff; and Janet Waters, MLS, BSN, RN, Medical Librarian.

Go to the White Paper

Updated ~ 2013

Originally developed in 2009, the paper was reviewed and updated to include the latest evidence-based research in 2013. Workgroup Members included J. Quentin Clemens, MD, MSCI, Chair; Howard Goldman, MD; Victor Senese, RN; and Jennifer Bertsch, Staff.


Task Force Members included J. Quentin Clemens, MD, MSCI; Robert Dowling, MD; Frances Foley, MS, RN, CURN; Howard Goldman, MD; Chris Gonzalez, MD; Christopher Tessier, MD; and Mary Anne Wasner, RN, CURN.