Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects

Abstract

Aim: To report the epidemiological and diagnostic aspects and evaluate the management of urological emergency in a university hospital. Patients and method: We conducted a single-center retrospective descriptive study over the period January 2015 to December 2017. We collected medical records of patients with urological emergency referred by the urology care team in our center. Results: Three hundred patients were identified over a period of 36 months. The mean age of the patients was 47.8±22.9 years (2 years -92 years). The sex-ratio was 10.5. The most common emergency was haematuria (25.6%) and urinary retention (21.6%). Urogenital infections were noted in 19% of patients mostly scrotal cellulitis (10%) and acute pyelonephritis (3.6%). The number of emergency hospitalization was 230 (76.7%). We performed 143 emergency surgical procedures (47.6%). The overall mortality rate was 1%. Conclusion: Urological emergency were dominated in our context by hematuria and urinary retention occurring most often in young adults. However, infectious and lithiasic diseases remain common conditions.

Acil Servise Başvuran Ürolojik Acil Olgularin Değerlendirilmesi

“…In the study of Bah and Diallo [21] in Guinea, the rate of AUR was reported as 73.9%. In the study of Ndiaye M et al [22], the most common urological emergency was hematuria with a rate of 25.6%. The rate of AUR is seen in the second frequency with 21.6% and it was found to be higher than in our study.…”