Evaluation of urologic emergency cases applying to emergency service

Abstract

Introduction: Urological emergencies constitute a significant proportion of patients presenting to emergency services. In this study demographic data, clinical diagnosis and treatment options of urological emergency cases referred to Malatya Training and Research Hospital Emergency Service were evaluated retrospectively. Materials and Methods: 18658, which were evaluated as urological emergency from 717624 patients who applied for Malatya Training and Research Hospital Emergency Service between March 2017 and March 2018 for any reason, were evaluated retrospectively. Demographic characteristics, such as age and gender of the patients, and medical treatments applied o clinics were evaluated. Findings: 47.2% of the patients were male (mean age: 43.7), 52.8% were female (mean age: 39.9), 6.7% were children, 11.3% were 70 years or above. The number of patients who were diagnosed with genitourinary system infection was 8549. There were 4536 patients with acute renal colic, 67 patients with massive macroscopic hematuria. When 74 cases with genitourinary system trauma were evaluated, minor and major renal injuries were seen most frequently. 73 of the patients were surgically operated. A total of 5 (0.02%) patients with two major renal traumas, 2 Fournier gangrene and 1 gunshot injury to the scrotum region were referred to the secondary center after the first visit to the emergency center. Conclusion: Urological emergencies that are frequently encountered in the emergency department should be evaluated quickly by the emergency physician and should be referred to a urology specialist. Having a detailed knowledge of the urological experience of the urologist and assessing the patient quickly and making the necessary intervention in the shortest time can be lifesaving.