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.
Highlights
Emergency evoke suffering or a critical health situation requiring rapid management
Two patients with scrotal cellulitis and the other death was reported in a patient with obstructive anuria
The etiology of haematuria was dominated by bladder tumors (42%) and prostate tumors (39%) (Figure 1)
Summary
Emergency evoke suffering or a critical health situation requiring rapid management. Urologists, in their daily practice face a large number of situation that require emergency management characterized by pain and a risk of serious functional sequelae or death of the patient [1]. We conducted a single-center descriptive study of over the period January 2015 to December 2017. We collected data from the medical records of patients referred to the emergency units of the urology-andrology department of our center. The variables studied were: the age and sex of the patients, the nature of the urological emergency and its emergency management. Data collection and analysis were done with Excel 2017 Software.
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