Danuser H, Ackermann D K, Studer U E
Urologische Universitätsklinik, Inselspital Bern.
Schweiz Med Wochenschr. 1993 Apr 17;123(15):749-55.
Every general practitioner has to deal with urologic emergencies. The most frequent illnesses are urinary retention, acute scrotum, priapism, macrohematuria, nephritic colic, obstructive pyelonephritis and pyonephrosis. Whereas urinary retention, as well as acute ureteric stone colic must generally be treated by the practitioner, the urologist must often be consulted in case of an acute scrotum or for priapism. Testicular torsion is one situation, where surgical treatment needs to be performed within 6 hours. Of utmost importance is his timely assistance with the obstructive pyelonephritis and pyonephrosis. These are initially often not recognized, especially because the first ultrasound examination of the intrarenal pyelone may not show a dilatation of the collecting system despite obstruction. If the adequate treatment with drainage and antibiotics is applied too late, this can result in serious and potentially lethal consequences.
每位全科医生都必须处理泌尿系统急症。最常见的疾病是尿潴留、急性阴囊炎、阴茎异常勃起、大量血尿、肾绞痛、梗阻性肾盂肾炎和肾积脓。虽然尿潴留以及急性输尿管结石绞痛通常由全科医生治疗，但对于急性阴囊炎或阴茎异常勃起的情况，往往需要咨询泌尿外科医生。睾丸扭转是一种需要在6小时内进行手术治疗的情况。至关重要的是他能及时协助处理梗阻性肾盂肾炎和肾积脓。这些情况最初常常未被识别，尤其是因为尽管存在梗阻，首次对肾内肾盂的超声检查可能并未显示集合系统扩张。如果引流和抗生素的适当治疗应用过晚，可能会导致严重且潜在致命的后果。
