A prospective audit of emergency urology activity in a university teaching hospital

Redmond, Elaine J.; Forde, James; Abdelrahman, Mamoun; Kelly, Niall P.; Akram, Ch Muhammad; Giri, Subhasis; Flood, Hugh D.

doi:10.1007/s11845-014-1154-8

Cited by 3 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment is based on bi-or tri-antibiotic therapy associated with surgical debridement and systematic treatment against tetanus (anti-tetanus serum and anti-tetanus vaccine). This treatment approach has been reported in several studies [17] [18].…”

Section: Discussionmentioning

confidence: 81%

Management of Non-Traumatic Urological Emergencies at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina Faso)

Adama,

Abdoul-Karim,

Delphine

et al. 2023

OJU

View full text Add to dashboard Cite

Background: Generally, urological emergencies are assumed not to be very common, however, recent reports showed that they constitute an important aspect of the day-to-day urological practice. If not well and promptly managed, they may lead to serious morbidity or mortality. Objectives: To study the pattern of presentation, diagnosis and outcome of management of nontraumatic urological emergencies seen at the Emergency Department of Souro Sanou University Hospital in Bobo-Dioulasso. Patients and Methods: This was a retrospective and descriptive study over four years. It included patients of all ages and both sexes, admitted for non-traumatic urological emergencies in the surgical emergency department of Souro Sanou University Hospital. It took place from January 1, 2017 to December 31, 2020. Results: A total of 584 patients were reviewed in our study. Non-traumatic urological emergencies account for 6.3% of all surgical emergencies seen during the study period. The male-to-female ratio was 9.2 to 1. The mean age of the patients was 51.9 ± 23.9 years. Forty-five per cent of the patients presented within 48 hours of symptoms. The vast majority of the patients presented with difficulties with passing urine (41.6%), followed by cases of hematuria (18.4%). On admission, 154 patients (26.4%) presented with severe conditions such as anemia as seen in 40.9% of the cases and deterioration in the general health condition as seen in 34.4% of the patients. Leukocytosis was noted in 18.7% of the patients and anemia in 17.9%.

show abstract

Section: Discussionmentioning

confidence: 81%

Management of Non-Traumatic Urological Emergencies at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina Faso)

Adama,

Abdoul-Karim,

Delphine

et al. 2023

OJU

View full text Add to dashboard Cite

show abstract

“…Routine urological emergency department (ED) consults can vary from renal colic to scrotal pain [ 1 ]. Less frequent presentations that may require urology consultation include injuries pertaining to foreign body damage to genitalia.…”

Section: Introductionmentioning

confidence: 99%

Characterization of genital injuries secondary to foreign bodies from 2011 to 2020

Pandher¹,

Oparanozie²,

Song³

et al. 2023

Investig Clin Urol

View full text Add to dashboard Cite

Purpose To identify demographic trends of foreign object genital injuries presenting to emergency departments from 2011 to 2020. Materials and Methods The National Electronic Injury Surveillance System database reports consumer product-related injuries in United States ED visits. The database was queried to identify 375 cases of genital injuries from 2011 to 2020. Inclusion criteria consisted of cases reporting injuries involving the urethra, penis, or scrotum. Data was reported and analyzed using linear regression. Results Based on 375 cases, an estimated 13,170 (95% confidence interval, 10,817–15,522) patients in the US suffered genital injuries due to foreign bodies between 2011 and 2020. These injuries involved the penis (65.9%), urethra (30.7%) and scrotum (3.5%). Of all patients, 11.8% required hospital admission after treatment of which injuries to the urethra were most common (44.0%). Most of these patients were ages 19 to 64 (66.1%). Consumer products most implicated included rings (50.7%), zippers (17.1%), and pens and pencils (10.3%). Injuries due to zippers and swimming apparel occurred significantly more frequently in patients ages 0–18 (p<0.05). Injuries due to kitchen gadgets occurred significantly more in patients ages ≥65 (p<0.05). Pens, pencils, and massage devices were items that routinely resulted in urethral injuries, often requiring hospitalization. Linear regression showed genital injuries related to foreign objects significantly increased from 2011 to 2020 (p<0.001). Conclusions Due to the nature of injury caused to genitalia by intentional and unintentional exposure to foreign bodies, educating individuals on this topic in sexual education classes is necessary for preventing future injuries.

show abstract

Role and effectiveness of an information guide in improving catheter confidence and knowledge in junior clinicians

Brown

Johnston

Struss

et al. 2022

Journal of Clinical Urology

View full text Add to dashboard Cite

Objective: Referrals to the on-call urology team for catheter-related problems are common. Experience and previous studies highlight that urology exposure and catheter skills are unsatisfactory in undergraduate training as well as in subsequent junior clinical practice. These deficiencies may compromise patient safety and delay appropriate treatment. This study aimed to assess catheter insertion confidence and associated knowledge in junior doctors and advanced nurse practitioners in a single teaching hospital and evaluate whether this could be improved by introducing a freely available catheter information and problem-solving guide. Methods: An online survey assessing confidence inserting two and three-way urethral catheters, changing suprapubic catheters and assessing knowledge related to common catheter problems was delivered to all non-registrar junior clinicians. Based on these results, an information guide was created and made freely available to these clinicians. The survey was then repeated to check for catheter-related knowledge and confidence. Results: A total of 58 junior clinicians responded to the initial survey and 61 to the repeat survey. Catheterisation confidence and knowledge was generally low in the first survey but improved in all areas and across all grades after the introduction of the information guide. Of the respondents, 100% thought the guide was helpful and 93.4% said they would use it in future. Conclusions: A catheter information guide is a simple and effective method of improving junior clinician confidence with catheter insertion and managing catheter-associated problems. Level of Evidence: This study does not directly correlate with a defined level of evidence.

show abstract

A prospective audit of emergency urology activity in a university teaching hospital

Cited by 3 publications

References 7 publications

Management of Non-Traumatic Urological Emergencies at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina Faso)

Management of Non-Traumatic Urological Emergencies at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina Faso)

Characterization of genital injuries secondary to foreign bodies from 2011 to 2020

Role and effectiveness of an information guide in improving catheter confidence and knowledge in junior clinicians

Contact Info

Product

Resources

About