Evaluation of urological emergency cases admitted to emergency department

Background: Especially in recent years, with the increase in the number of patients admitted to the emergency

services the number of urological emergencies is increasing. Some of these require immediate attention. There are

not enough studies on urological emergencies in our country. In this study, we aimed to investigate the

demographic data of patients over the age of 18 who presented to the emergency department with non-traumatic

urological emergency complaints.

Methods: This study was designed based on a 6-month prospective, cross-sectional study. After obtaining the

approval of the ethics committee, patients over the age of 18 with urological emergency complaints were examined

between 06.11.2019 and 06.05.2020.

Results: The ratio of urological emergencies to all patients was found to be 1.5%. 56.76% (n=231) of the patients

were male and 43.24% (n=176) were female. In the study was found 44.7% of the patients to be urinary tract

infection, 31.45% renal colic, 8.8% hematuria, 6.88% acute urinary retention. In our study, urology consultation

was requested for 19% of urological emergency patients. Emergency intervention was applied to 21.13% of all

urological emergency cases. Emergency operation was required for 1.47% of the patients. 10.81% of the patients

required hospitalization.

Conclusion: As a result, urological emergencies are common. Among these cases, there may be diseases that

require urgent intervention or surgery. It is very important for the patients the emergency physicians who evaluate

the patient first to make a careful and meticulous evaluation and to make a urology consultation if necessary.

Keywords: Renal colic, urinary tract infection, urological emergency.