• Med. Clin. North Am. · Mar 2018

    Review

    Urologic Emergencies.

    • Adarsh S Manjunath and Matthias D Hofer.
    • Department of Urology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue 16-703, Chicago, IL 60611, USA.
    • Med. Clin. North Am. 2018 Mar 1; 102 (2): 373-385.

    AbstractUrologic emergencies can involve the kidneys, ureters, bladder, urethra, penis, scrotum, or testicles. History and physical examination are essential to diagnosis, whereas imaging is increasingly used to confirm diagnoses. Acute urinary retention should be relieved with Foley placement. Penile emergencies include paraphimosis, which can be treated by foreskin reduction, whereas penile fracture and priapism require urologic intervention. Fournier gangrene and testicular torsion are scrotal emergencies requiring emergent surgery. Nephrolithiasis, although painful, is not an emergency unless there is concern for concomitant urinary tract infection, both ureters are obstructed by stones, or there is an obstructing stone in a solitary kidney.Copyright © 2017 Elsevier Inc. All rights reserved.

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