Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Ebonyi State; Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital; Department of Surgery, Ebonyi State University Abakaliki, Ebonyi State, Nigeria.
Niger J Clin Pract. 2021 Mar;24(3):400-405. doi: 10.4103/njcp.njcp_393_20.
Urological emergencies constitute a significant part of emergency presentations in various referral centers. Data on the prevalence of these emergencies in West African sub-region are sparse.
The study is aimed at determining the pattern of urological emergencies in our center and is geared towards bridging the gap in knowledge of the epidemiology of urological emergencies in this sub-region as a means of achieving efficient use of scarce resources.
It was a retrospective study of all urological emergency cases that presented over six years in a Federal University Teaching Hospital in Nigeria. Data were collected from emergency register and theatre logs. Data analysis was done using SPSS version 25.
A total of 267 patients presented with urological emergencies during the period of study with 258 (96.6%) men and 9 (3.4%) women. The mean age of the patients was 50.6 ± 20.8 years. Urinary retention was the most common urological emergency accounting for 159 (59.6%) cases followed by Fournier's gangrene 23 (8.6%) and testicular torsion 23 (8.6%). Bladder and ureteral injuries accounted for 5 (55.6%) of the urological emergency presentations in women while both injuries accounted for only 4 (1.6%) in men (P = 0.000). Urethral catheterization was the most commonly performed procedure 139 (52.1%), followed by percutaneous suprapubic cystostomy (SPC) 31 (11.6%).
Urological emergencies have varying presentations in both sexes. Urinary retention, and acute scrotum were the most common urological emergencies in our facility. This knowledge can be used in emergency preparedness planning which involves personnel training and resource allocation.
泌尿系统急症是各转诊中心急诊的重要组成部分。关于西非次区域这些急症的患病率数据很少。
本研究旨在确定我们中心泌尿系统急症的模式，并旨在填补该次区域泌尿系统急症流行病学知识的空白，以此作为有效利用稀缺资源的一种手段。
这是对尼日利亚一家联邦大学教学医院六年来所有泌尿系统急症病例的回顾性研究。数据从急诊登记处和手术室日志中收集。使用 SPSS 版本 25 进行数据分析。
研究期间共有 267 例泌尿系统急症患者就诊，其中 258 例（96.6%）为男性，9 例（3.4%）为女性。患者的平均年龄为 50.6 ± 20.8 岁。尿潴留是最常见的泌尿系统急症，占 159 例（59.6%），其次是 Fournier 坏疽 23 例（8.6%）和睾丸扭转 23 例（8.6%）。膀胱和输尿管损伤占女性泌尿系统急症就诊的 5 例（55.6%），而男性仅占 4 例（1.6%）（P = 0.000）。尿道置管术是最常进行的操作，共 139 例（52.1%），其次是经皮耻骨上膀胱造口术（SPC）31 例（11.6%）。
泌尿系统急症在男女中的表现不同。尿潴留和急性阴囊是我们医院最常见的泌尿系统急症。这些知识可用于应急准备规划，包括人员培训和资源分配。
