title: A Spectrum of Urological Emergency Reported at a Tertiary Care Teaching Hospital: An Experience.
abstract: BACKGROUND
  A substantial number of urology admissions constitute of emergency cases and sizeable proportion are urology emergency referral cases. There have been few studies conducted on this aspect but there lie geographical variations in the presentations of urological emergencies. Hence, this study was conducted to analyse various urological emergency presentations and their interventions.
  
  
  OBJECTIVE
  To estimate the proportion of urological emergencies and analyse the different type of urological emergencies with the required management.
  
  
  METHODS
  A hospital based observational descriptive study was undertaken in our institution over a period of one year.
  
  
  RESULTS
  A total of 11,139 cases were admitted in the urology department; of which a significant percentage (21.05%) was from emergency room. Majority of cross references came from the Department of Medicine (22.59 %). Renal colic (24.2%) happened to be the most common presentation in emergency room followed by acute urinary retention (14.7%). Among referred cases, hematuria was the leading presentation with 17.75% followed by traumatic catheterization (11.97%). Most common urological intervention in referred cases was supra pubic catheterization (27.20%) while it was percutaneous nephrostomy (32.78%) in directly admitted cases.
  
  
  CONCLUSIONS
  Urological emergencies constitute a significant proportion of total urology admissions (27.18%). The most common non-traumatic injury was renal colic whereas traumatic was traumatic catheterization in our study. Most common surgical intervention in direct admitted emergency cases was percutaneous nephrostomy whereassuprapubic catheterization in within hospital emergency referral cases.
authors.affiliation: Senior Resident, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Shyam
authors.initials: S
authors.lastname: Talreja
authors.affiliation: Senior Resident, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Indraneel
authors.initials: I
authors.lastname: Banerjee
authors.affiliation: Medical Officer, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Ramdayal
authors.initials: R
authors.lastname: Teli
authors.affiliation: Assistant Professor, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Neeraj
authors.initials: N
authors.lastname: Agarwal
authors.affiliation: Associate Professor, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Nachiket
authors.initials: N
authors.lastname: Vyas
authors.affiliation: Professor, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Shivam
authors.initials: S
authors.lastname: Priyadarshi
authors.affiliation: Professor, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Shersingh
authors.initials: S
authors.lastname: Yadav
authors.affiliation: Professor and Head of the Department, Department of Urology, SMS Medical College & Hospital , Jaipur, Rajasthan, India .
authors.forename: Vinay
authors.initials: V
authors.lastname: Tomar
keywords: Urological emergencies; Urological emergency referrals; Urological interventions