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Articles of Interest

Urologic Emergencies

Nuts and bolts of urologic emergencies...

Academic Life in Emergency Medicine (ALiEM) Blog and Podcast Watch: Renal and Genitourinary Emergencies

We initially included a total of 49 blog posts and podcasts. Key educational pearls from the three AIR posts and the 10 Honorable Mentions are described.

Critical Urologic Skills and Procedures in the Emergency Department

Acute urinary retention (AUR) is a common urologic condition that often presents to an emergency department (ED) as a sudden inability to pass urine accompanying with lower abdominal pain. It increases in incidence with age and most often occurs in men over the age of 60 years. Generally, the causes of AUR can be classified into 3 categories. The first category relates to any event that increases the resistance to the urine flow, including, for example, benign prostatic hyperplasia (BPH), urethral stricture, or detrusor sphincter dysfunction...

Diagnosis and Emergency Department Management of Urologic Emergencies in the Male Patient: Part II

This issue will focus on penile, prostate, and urethral disorders, including both medical and traumatic conditions.

Paraphimosis and Phimosis

The main risk factor is lack of circumcision.

Pediatric Urologic Emergencies

This episode covers 8 key pediatric urologic emergencies including testicular torsion, paraphimosis, disorders of sexual differentiation, nephrolithiasis antenatal hydronephrosis, incarcerated inguinal hernias, hydroceles, and major abdominal birth defects.

Renal + GU Emergencies

This week we discuss some quick pearls from our conference covering an array of renal and GU pathologies.

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

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.

Trends in urological emergencies in the Era of COVID-19

General lockdown was accompanied by a significant decrease in common urological presentations to the ER. This change occurred across the clinical severity spectrum of renal colic, hematuria, and urinary retention. In the short term, it appears that patients who sought treatment did not suffer from complications that could be attributed to late arrival or delay in treatment.

Trick of the Trade: Angiocatheter for manual aspiration of priapism

Bilateral aspiration is not always required, although it may help accelerate drainage, especially if blood has begun coagulating in delayed presentations.

What To Do In A Urological Emergency

Many urological conditions do not qualify as an emergency because they do not require care or treatment at the very moment they are observed.

Resources

AUA

While, fortunately, urologic emergencies are rare, it is incumbent on providers to recognize the often-subtle clinical presentations of these conditions.

CBC.org

Urinary retention is one of the most common medical problems encountered in clinical practice, and most health care professionals will be involved in its treatment at one time or another.

MedicineBau.com

Failure to recognize true urologic emergencies may result in renal failure, organ damage, or loss of sexual function.