Talreja Shyam, Banerjee Indraneel, Teli Ramdayal, Agarwal Neeraj, Vyas Nachiket, Priyadarshi Shivam, Yadav Shersingh, Tomar Vinay
Senior Resident, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
Medical Officer, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
J Clin Diagn Res. 2015 Nov;9(11):PC12-5. doi: 10.7860/JCDR/2015/15793.6821. Epub 2015 Nov 1.
A substantial number of urology admissions constitute of emergency cases and sizeable proportion are urology emergency referral cases. There have been few studies conducted on this aspect but there lie geographical variations in the presentations of urological emergencies. Hence, this study was conducted to analyse various urological emergency presentations and their interventions.
To estimate the proportion of urological emergencies and analyse the different type of urological emergencies with the required management.
A hospital based observational descriptive study was undertaken in our institution over a period of one year.
A total of 11,139 cases were admitted in the urology department; of which a significant percentage (21.05%) was from emergency room. Majority of cross references came from the Department of Medicine (22.59 %). Renal colic (24.2%) happened to be the most common presentation in emergency room followed by acute urinary retention (14.7%). Among referred cases, hematuria was the leading presentation with 17.75% followed by traumatic catheterization (11.97%). Most common urological intervention in referred cases was supra pubic catheterization (27.20%) while it was percutaneous nephrostomy (32.78%) in directly admitted cases.
Urological emergencies constitute a significant proportion of total urology admissions (27.18%). The most common non-traumatic injury was renal colic whereas traumatic was traumatic catheterization in our study. Most common surgical intervention in direct admitted emergency cases was percutaneous nephrostomy whereassuprapubic catheterization in within hospital emergency referral cases.
大量泌尿外科住院病例为急诊病例，且相当一部分是泌尿外科急诊转诊病例。关于这方面的研究较少，但泌尿外科急诊的表现存在地域差异。因此，本研究旨在分析各种泌尿外科急诊表现及其干预措施。
估计泌尿外科急诊的比例，并分析不同类型的泌尿外科急诊及其所需的治疗。
在我们机构进行了一项为期一年的基于医院的观察性描述性研究。
泌尿外科共收治11139例病例；其中相当比例（21.05%）来自急诊室。大多数交叉转诊来自内科（22.59%）。肾绞痛（24.2%）是急诊室最常见的表现，其次是急性尿潴留（14.7%）。在转诊病例中，血尿是主要表现，占17.75%，其次是创伤性导尿（11.97%）。转诊病例中最常见的泌尿外科干预措施是耻骨上膀胱造瘘术（27.20%），而直接入院病例中是经皮肾造瘘术（32.78%）。
泌尿外科急诊占泌尿外科总住院病例的很大比例（27.18%）。在我们的研究中，最常见的非创伤性损伤是肾绞痛，而创伤性损伤是创伤性导尿。直接入院的急诊病例中最常见的手术干预措施是经皮肾造瘘术，而院内急诊转诊病例中是耻骨上膀胱造瘘术。
