title: [Evaluation of the activity of a urological emergency unit in university hospital].
abstract: OBJECTIVE
  To determine the epidemiology of urological emergencies in a university hospital and the interest of a dedicated urological emergency unit.
  
  
  METHODS
  In 2008, a dedicated urological emergency unit was individualized in our department of urology. We conducted a retrospective study including all patients consulting in this unit in 2009 with epidemiological, clinical and therapeutic data.
  
  
  RESULTS
  During 2009, 1257 patients consulted in this unit. Main diagnoses were acute urinary retention (303, 24.11%), renal colic (219, 17.42%), urinary infections (278, 22.11%), postoperative complications (141, 11.22%), symptomatic benign prostate hyperplasia (65, 5.17%), genitourinary cancers (61, 4.85%), trauma of urinary apparel (41, 3.26%), and spermatic cords torsion (10, 0.8%). In 99 cases (7.88%) diagnosis did not involved the urinary system. The treatment was surgical in 213 (17.7%) cases, technical procedure under local anesthesia in 368 (29.3%) and a medical treatment in 675 (53.7%) cases. Six hundred and sixty (52.5%) patients were managed ambulatory whereas 596 (47.5%) needed hospitalization.
  
  
  CONCLUSIONS
  The opening of a dedicated urological emergency unit lead to 1257 emergency consultations. Frequent etiologies were acute urinary retention, renal colic and urinary infection. The creation of this unit allowed to register and to valorize this emergency activity through the ATU emergency amount.
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France; UFR SMP, université de Franche-Comté, 25000 Besançon, France.
authors.forename: L
authors.initials: L
authors.lastname: Martin
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France.
authors.forename: P
authors.initials: P
authors.lastname: Pillot
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France; UFR SMP, université de Franche-Comté, 25000 Besançon, France.
authors.forename: N
authors.initials: N
authors.lastname: Bardonnaud
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France; UFR SMP, université de Franche-Comté, 25000 Besançon, France.
authors.forename: J
authors.initials: J
authors.lastname: Lillaz
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France.
authors.forename: E
authors.initials: E
authors.lastname: Chabannes
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France.
authors.forename: S
authors.initials: S
authors.lastname: Bernardini
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France.
authors.forename: G
authors.initials: G
authors.lastname: Guichard
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France; UFR SMP, université de Franche-Comté, 25000 Besançon, France.
authors.forename: H
authors.initials: H
authors.lastname: Bittard
authors.affiliation: Service d'urologie et transplantation rénale, CHRU de Besançon, 3, boulevard A.-Fleming, 25000 Besançon, France; UFR SMP, université de Franche-Comté, 25000 Besançon, France; UMR 1098, 25000 Besançon, France. Electronic address: francois.kleinclauss@univ-fcomte.fr.
authors.forename: F
authors.initials: F
authors.lastname: Kleinclauss
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D004636:Emergency Service, Hospital; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000453:epidemiology* / Q000628:therapy; D014572:Urology; D055815:Young Adult
keywords: Centre hospitalier universitaire; Emergency; Epidemiology; University hospital; Urgence; Urologie; Urology; Épidémiologie