Spectrum of urological emergencies and surgical interventions in a single tertiary health center

Abstract

Objectives Emergency urologic conditions are relatively common, albeit rarely life threatening, there is often a need for prompt and expedient management in order to avert severe or permanent morbidities. This study aimed to evaluate the spectrum of Urologic emergencies and interventions offered in a tertiary hospital in Nigeria. Patients and methods We retrospectively reviewed the records of patients who were managed in our institution for emergency urologic conditions over a period of 6 years (2011–2017). The data extracted included; the demographic information, diagnosis and the treatment offered. The data obtained were analyzed using SPSS version 20. Data were displayed using mean +/− standard deviation and percentages. Results The records of a total of 681 patients were retrieved and they span across almost all ages with age range or 2–90 years. Urinary retention was the commonest emergency seen, accounting for 51.7% of the patients. Testicular torsion was the next most common (10%), others are bilateral ureteric obstruction and priapism with 5.4% and 5.3% respectively. Suprapubic cystostomy (SPC) was the commonest operative procedure performed (37.6%). The age range for patients with urinary retention was 3–90 years, though the peak incidence was in the 7th decade (37.3%). Patients with testicular torsion were young adults between the ages of 11 and 44 years. Conclusion Urinary retention was the commonest urologic emergency followed by testicular torsion. Though urethral catheterization was successful in most patients urinary retention, making it the commonest procedure. SPC was the commonest emergency operative procedure performed. Other emergencies occurred sporadically.

Use of Guidewires of Bioradmedisys in Urology

“…A retrospective study conducted in Ahmadu Bello University Teaching Hospital have reported that urinary retention was the most common urological emergency noted over a 6-year period, 352 out of 681 urological emergencies and 41.9% of the patients proceeded to have suprapubic catheter (SPC) following failed urethral catheterization. Several different approaches have been described by literature to achieve transurethral catheterization for patients with DUC; however, many of the basic requirements to achieve this are not readily available to us or expensive to procure 3 . Although the practice of open suprapubic catheterization has given way to percutaneous suprapubic catheterization, either with or without image guidance, our patients remain apprehensive and reluctant about the procedure.…”

A Spectrum of Non-Traumatic Urological Emergencies in a Single Center in Tunisia: Ten Years Experience.

“…Western countries [13]. A total of 5 patients were treated during the study period, priapism represents 0.9% of all urological emergencies seen.…”

Pediatric Urological Emergencies: Epidemiology, Pattern and Treatment Outcome

“…Emergency services are some of the most important functions of any hospital and they cut across all specialties [6]. Urological emergencies are not infrequent but may be less common when compared to other surgical specialties [6].…”

“…Emergency services are some of the most important functions of any hospital and they cut across all specialties [6]. Urological emergencies are not infrequent but may be less common when compared to other surgical specialties [6]. Largely, they may not be immediately life threatening but require prompt and proper response to prevent long term complications [6].…”

“…Urological emergencies are not infrequent but may be less common when compared to other surgical specialties [6]. Largely, they may not be immediately life threatening but require prompt and proper response to prevent long term complications [6]. Surgical intervention is required in most urological emergencies in children.…”