What is the recommended approach before endoscopy regarding routine UA testing?

Routine urinalysis (UA) testing prior to endoscopy is generally not recommended for most patients undergoing this procedure. The rationale behind this recommendation stems from the understanding that routine UA does not significantly impact the management of patients scheduled for endoscopic procedures and does not provide clinically useful information that would alter the course of treatment or anesthesia considerations.

In most cases, the risk of urinary tract infection (UTI) or other urinary complications in the context of endoscopy is low, especially if the patient does not exhibit symptoms of a UTI. Endoscopic surgeries typically have different risk factors and concerns that are more pertinent to patient safety and operative outcomes, such as the patient's overall medical history and the specific nature of the endoscopic procedure being performed.

While certain groups, such as those with a history of recurrent urinary infections, may warrant additional testing due to their specific medical histories, routine testing for all patients undergoing endoscopy does not align with evidence-based guidelines. This helps to reduce unnecessary costs and procedures without compromising patient safety.