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Urologic Emergencies.

Abstract Urologic 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.
PMID
Related Publications
Authors

Mayor MeshTerms
Keywords

Acute urinary retention

Fournier gangrene

Infected nephrolithiasis

Paraphimosis

Penile fracture

Priapism

Testicular torsion

Urologic emergencies

Journal Title the medical clinics of north america
Publication Year Start




PMID- 29406065
OWN - NLM
STAT- MEDLINE
DCOM- 20180208
LR  - 20180208
IS  - 1557-9859 (Electronic)
IS  - 0025-7125 (Linking)
VI  - 102
IP  - 2
DP  - 2018 Mar
TI  - Urologic Emergencies.
PG  - 373-385
LID - S0025-7125(17)30167-0 [pii]
LID - 10.1016/j.mcna.2017.10.013 [doi]
AB  - Urologic 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.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Manjunath, Adarsh S
AU  - Manjunath AS
AD  - Department of Urology, Northwestern University Feinberg School of Medicine, 303
      East Chicago Avenue 16-703, Chicago, IL 60611, USA.
FAU - Hofer, Matthias D
AU  - Hofer MD
AD  - Department of Urology, Northwestern University Feinberg School of Medicine, 303
      East Chicago Avenue 16-703, Chicago, IL 60611, USA. Electronic address:
      [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20171220
PL  - United States
TA  - Med Clin North Am
JT  - The Medical clinics of North America
JID - 2985236R
SB  - AIM
SB  - IM
MH  - Acute Disease
MH  - Emergencies
MH  - Female
MH  - Female Urogenital Diseases/diagnosis/therapy
MH  - Fournier Gangrene/diagnosis/therapy
MH  - Humans
MH  - Male
MH  - Male Urogenital Diseases/diagnosis/therapy
MH  - Nephrolithiasis/diagnosis/microbiology/therapy
MH  - Paraphimosis/diagnosis/therapy
MH  - Penis/injuries
MH  - Priapism/diagnosis/therapy
MH  - Referral and Consultation
MH  - Rupture
MH  - Spermatic Cord Torsion/diagnosis/therapy
MH  - Urinary Retention/diagnosis/therapy
MH  - Urologic Diseases/*diagnosis/*therapy
OTO - NOTNLM
OT  - Acute urinary retention
OT  - Fournier gangrene
OT  - Infected nephrolithiasis
OT  - Paraphimosis
OT  - Penile fracture
OT  - Priapism
OT  - Testicular torsion
OT  - Urologic emergencies
EDAT- 2018/02/07 06:00
MHDA- 2018/02/09 06:00
CRDT- 2018/02/07 06:00
PHST- 2018/02/07 06:00 [entrez]
PHST- 2018/02/07 06:00 [pubmed]
PHST- 2018/02/09 06:00 [medline]
AID - S0025-7125(17)30167-0 [pii]
AID - 10.1016/j.mcna.2017.10.013 [doi]
PST - ppublish
SO  - Med Clin North Am. 2018 Mar;102(2):373-385. doi: 10.1016/j.mcna.2017.10.013. Epub
      2017 Dec 20.