Epidemiologic Analysis of Urological Cases Admitted to an Emergency Department of a Tertiary Care Center

Abstract

Objective:We evaluated emergency urology patients admitted to the emergency department of our hospital in terms of demographic and epidemiological characteristics, in order to contribute to the relevant data of our country.Materials and Methods:Of 362,139 patients, the demographic characteristics, established diagnoses, treatments, and results of 1409 emergency urology patients, who were admitted to Zonguldak Bülent Ecevit University Faculty of Medicine, Hospital’s Emergency Department between January 2012 and December 2018, were analyzed retrospectively.Results:Of the 362,139 patients admitted to the emergency department, 1409 (0.39%) were emergency urology patients. 69.9% of the patients were male (mean age: 57), and 30.1% of them were female (mean age: 54). The most frequent illness was renal colic constituting 25.5% of the cases followed by massive macroscopic hematuria (20.7%). Among the emergency urology patients, 381 (15.5%) underwent surgical procedures. The most performed procedure was for treating urethral stricture, which required urological expertise.Conclusion:While some of the emergencies can be diagnosed using simple methods and most urological emergencies can be managed with simple interventions, urologists’ intervention may be needed quickly if necessary. All emergency physicians should be aware of these simple approaches that otherwise may have severe consequences for patients.

Keywords

• emergency
• epidemiology
• urological cases