Emergency department consultations are the most important in any hospital. Although nontraumatic urological emergencies are a common reason for hospitalization in a urological environment. The aim of our study was to present the epidemiological and therapeutic aspects of non-traumatic urological emergencies in our hospital for 10 years.
This was a retrospective study of records of patients who presented with non-traumatic Urological emergencies to our institution, over a 10-year period (from January 2010 – December 2019). This study was done in the Department of Urology in the hospital of the Internal Security Forces La Marsa. The data extracted included; the demographic information, diagnosis, and the treatment offered. The data obtained were analyzed using SPSS version 21. Data were displayed using mean +/− standard deviation and percentages.
We registered 531 patients. The average age of our patients was 48.2 years (18 to 94 years). The sex ratio (M / F) was 2/1. These patients were over or equal to 50 years in 45.7% of cases. The most frequent conditions were acute urine retention (43%) and urogenital infections which together accounted for 18.4% of cases. The two other diagnoses the most retained were: obstructive lithiasis pyelonephritis in 11.9% (64 patients) including 12 cases of emphysematous pyelonephritis, hyperalgesia renal colic in 5.9% of cases. Testicular torsion constituted the third commonest urological emergency seen, accounting for 3,36% (n = 18) of the cases. Gangrene of the external genitalia accounted for 1.9% of urologic emergencies, and priapism 1.3%. 138 patients were hospitalized in the urology unit for treatment
The most common nontraumatic urological emergency was urine retention in the elderly. To our knowledge, this study is the first to detail the activity of non-traumatic urological emergencies in Tunisia, and it will certainly be the starting point for the establishment of a structure dedicated entirely to urological activity.