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Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects

Received: 15 June 2020     Accepted: 2 July 2020     Published: 13 July 2020
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Abstract

Aim: To report the epidemiological and diagnostic aspects and evaluate the management of urological emergency in a university hospital. Patients and method: We conducted a single-center retrospective descriptive study over the period January 2015 to December 2017. We collected medical records of patients with urological emergency referred by the urology care team in our center. Results: Three hundred patients were identified over a period of 36 months. The mean age of the patients was 47.8±22.9 years (2 years - 92 years). The sex-ratio was 10.5. The most common emergency was haematuria (25.6%) and urinary retention (21.6%). Urogenital infections were noted in 19% of patients mostly scrotal cellulitis (10%) and acute pyelonephritis (3.6%). The number of emergency hospitalization was 230 (76.7%). We performed 143 emergency surgical procedures (47.6%). The overall mortality rate was 1%. Conclusion: Urological emergency were dominated in our context by hematuria and urinary retention occurring most often in young adults. However, infectious and lithiasic diseases remain common conditions.

Published in International Journal of Clinical Urology (Volume 4, Issue 2)
DOI 10.11648/j.ijcu.20200402.13
Page(s) 51-54
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Emergencies, Urinary Retention, Hematuria, Cellulitis

References
[1] Mondet F, Chartier-kastler E, Yonneau L, Bohin D, Barroub, Richard F. Epidémiologie des urgences urologiques en Centre Hospitalier Universitaire. Prog Urol 2002; 12: 437-442.
[2] Diallo AB, Bah I, Diallo TMO, Bah OR, Amougou B, Bah MD et al. Le profil des urgences urologiques au CHU de Conakry, Guinée. Prog Urol 2010; 20: 214-218.
[3] Fall B, Diao B, Fall P. A, Diallo Y. Sow Y, Ondongo AAM et al. Les urgences urologiques en milieu hospitalier universitaire à Dakar: aspects épidémiologiques, cliniques et thérapeutiques. Prog Urol 2008; 18 (10): 650-653.
[4] Parra ML, Lopez Pacios JC, Pineiro FMC, Sanchez MJM, Menedez CMJ, Astorgano de la Puente C et al. Urologic disease emergency: clinico-epidemiolgic analysis at a district hospital. Arch Esp Urol 2001; 54: 411-415.
[5] Danuser H, Ackerman DK, Studer EU. Urological emergencies. Schweiz Med Wochenschr 1993; 123: 749-55.
[6] Diabate I, Ondo CZ, Sow I, Ba A, Mboup C. Les urgences urologiques au centre hospitalier de louga, Sénégal: aspects épidémiologiques et évaluation de la prise en charge. AFJU 2015; 21 (3): 181-186.
[7] Diamé ID, Diallo I, Beye M, Ndour NS, Ndiaye M, Hafing T. et al. Les aspects cliniques et thérapeutiques des urgences urologiques dans une zone rurale périphérique du Sénégal. Uro’Andro 2019; 2 (1): 34-37.
[8] Diao B, Amath T, Fall B, Fall P. A, Diémé M. J, Steevy N et al. Les cancers de la vessie au Sénégal: particularités épidémiologiques, cliniques et histologiques. Prog Urol 2008; 18 (7): 445-448.
[9] Ikuerowo SO, Ogunade AA, Ogunlowo TO, Uzodimma CC, Esho JO. The burden of prolonged indwelling catheter after acute urinary retention in Ikeja-Lagos, Nigeria. BMJ 2007; 7: 16.
[10] Thomas K, Oades G, Taylor-Hay C, Kirby RS. Acute urinary retention: what is the impact’s on patient quality of life? BJU Int 2005; 95: 72-76.
Cite This Article
  • APA Style

    Modou Ndiaye, Ousmane Sow, Alioune Sarr, Abdoulaye Ndiath, Cyrille Ze Ondo, et al. (2020). Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects. International Journal of Clinical Urology, 4(2), 51-54. https://doi.org/10.11648/j.ijcu.20200402.13

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    ACS Style

    Modou Ndiaye; Ousmane Sow; Alioune Sarr; Abdoulaye Ndiath; Cyrille Ze Ondo, et al. Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects. Int. J. Clin. Urol. 2020, 4(2), 51-54. doi: 10.11648/j.ijcu.20200402.13

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    AMA Style

    Modou Ndiaye, Ousmane Sow, Alioune Sarr, Abdoulaye Ndiath, Cyrille Ze Ondo, et al. Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects. Int J Clin Urol. 2020;4(2):51-54. doi: 10.11648/j.ijcu.20200402.13

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  • @article{10.11648/j.ijcu.20200402.13,
      author = {Modou Ndiaye and Ousmane Sow and Alioune Sarr and Abdoulaye Ndiath and Cyrille Ze Ondo and Babacar Sine and Amath Thiam and Ndeye Aissatou Bagayogo and Samba Thiapato Faye and Ndiaga Seck Ndour and Aboubacar Traore and Omar Gaye and Ngor Mack Thiam and El Hadj Malick Diaw and Yaya Sow and Babacar Diao and Alain Khassim Ndoye},
      title = {Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects},
      journal = {International Journal of Clinical Urology},
      volume = {4},
      number = {2},
      pages = {51-54},
      doi = {10.11648/j.ijcu.20200402.13},
      url = {https://doi.org/10.11648/j.ijcu.20200402.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200402.13},
      abstract = {Aim: To report the epidemiological and diagnostic aspects and evaluate the management of urological emergency in a university hospital. Patients and method: We conducted a single-center retrospective descriptive study over the period January 2015 to December 2017. We collected medical records of patients with urological emergency referred by the urology care team in our center. Results: Three hundred patients were identified over a period of 36 months. The mean age of the patients was 47.8±22.9 years (2 years - 92 years). The sex-ratio was 10.5. The most common emergency was haematuria (25.6%) and urinary retention (21.6%). Urogenital infections were noted in 19% of patients mostly scrotal cellulitis (10%) and acute pyelonephritis (3.6%). The number of emergency hospitalization was 230 (76.7%). We performed 143 emergency surgical procedures (47.6%). The overall mortality rate was 1%. Conclusion: Urological emergency were dominated in our context by hematuria and urinary retention occurring most often in young adults. However, infectious and lithiasic diseases remain common conditions.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Urological Emergency in a University Hospital Setting: Epidemiological, Diagnostic and Therapeutic Aspects
    AU  - Modou Ndiaye
    AU  - Ousmane Sow
    AU  - Alioune Sarr
    AU  - Abdoulaye Ndiath
    AU  - Cyrille Ze Ondo
    AU  - Babacar Sine
    AU  - Amath Thiam
    AU  - Ndeye Aissatou Bagayogo
    AU  - Samba Thiapato Faye
    AU  - Ndiaga Seck Ndour
    AU  - Aboubacar Traore
    AU  - Omar Gaye
    AU  - Ngor Mack Thiam
    AU  - El Hadj Malick Diaw
    AU  - Yaya Sow
    AU  - Babacar Diao
    AU  - Alain Khassim Ndoye
    Y1  - 2020/07/13
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijcu.20200402.13
    DO  - 10.11648/j.ijcu.20200402.13
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 51
    EP  - 54
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20200402.13
    AB  - Aim: To report the epidemiological and diagnostic aspects and evaluate the management of urological emergency in a university hospital. Patients and method: We conducted a single-center retrospective descriptive study over the period January 2015 to December 2017. We collected medical records of patients with urological emergency referred by the urology care team in our center. Results: Three hundred patients were identified over a period of 36 months. The mean age of the patients was 47.8±22.9 years (2 years - 92 years). The sex-ratio was 10.5. The most common emergency was haematuria (25.6%) and urinary retention (21.6%). Urogenital infections were noted in 19% of patients mostly scrotal cellulitis (10%) and acute pyelonephritis (3.6%). The number of emergency hospitalization was 230 (76.7%). We performed 143 emergency surgical procedures (47.6%). The overall mortality rate was 1%. Conclusion: Urological emergency were dominated in our context by hematuria and urinary retention occurring most often in young adults. However, infectious and lithiasic diseases remain common conditions.
    VL  - 4
    IS  - 2
    ER  - 

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Author Information
  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, De la Paix Hospital, Ziguinchor, Senegal

  • Urology-Andrology Department, Idrissa Pouye Hospital, Dakar, Senegal

  • Urology-Andrology Department, Idrissa Pouye Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

  • Urology-Andrology Department, Aristide Le Dantec Hospital, Dakar, Senegal

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