Urological Emergencies at the Pr Bocar Sidy SALL University Hospital in Kati: Epidemiological, Clinical, Etiological and Therapeutic Aspects

Résumé fourni par la source

Objective: To study the epidemiological, clinical, etiological and therapeutic aspects of urological emergencies at the Urology Department of the Pr Bocar Sidy Sall University Hospital in Kati. Materials and Methods: This was a prospective descriptive study conducted from January 1, 2022, to December 31, 2024, a period of 36 months. It included all patients presenting with a urological emergency seen in consultation at the emergency department and patients hospitalized in other departments. Results: We recorded 502 patients with a urological emergency, representing 5.70% of the study population. The most represented age group was 60 years and older, at 57.4%. The male-to-female ratio was 5.97. Complete inability to urinate was the most frequent reason for consultation, accounting for 45.2% of cases. Bladder distension was present in 40.6% of patients. Acute urinary retention was the most frequent type of emergency, accounting for 45.6%. Benign prostatic hyperplasia was the most common etiology, at 32.1%, followed by bladder tumors at 27.9% and prostate cancer at 10.4%. Transurethral catheterization was the most frequent non-surgical emergency procedure, performed in 50.3% of cases. The most frequent surgical procedure was suprapubic catheterization, performed in 78 patients (45.88%), followed by double-J stent placement in 40 patients (23.53%). Transurethral resection of the prostate was the most common etiological treatment, performed in 43.53% of cases. The length of hospital stay was 2 to 3 days in 24.7% of cases. Conclusion: The most frequent urological emergency in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati was urinary retention.

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