TITLE:
Urological Emergencies at the University Hospital of Brazzaville: Epidemiological, Clinical, and Therapeutic Aspects
AUTHORS:
Roland Bertile Banga-Mouss, Yannick Dimi Nyanga, Irène Ondima, Armel Melvin Atipo Ondongo, Steve Aristide Ondziel-Opara, Joseph Junior Damba, Nick Arnaud Monabeka, Christ Ondzé, Daniella Gloire Ngassiele, Gidmard Onguele, Henock Songa, Jetsvy Mayala, Anani Wensels Severin Odzebe, Prosper Alain Bouya
KEYWORDS:
Urological Emergencies, Urinary Retention, Hematuria, Renal Colic
JOURNAL NAME:
Open Journal of Urology,
Vol.14 No.5,
May
21,
2024
ABSTRACT: Introduction: Urological emergencies play a significant role in the medical and surgical activity of a urology department. The objective of this study was to determine the hospital prevalence of urological emergencies at the University Hospital of Brazzaville (CHUB), identify the different pathologies requiring urgent care, and list the various therapeutic methods. Patients and methods: A retrospective study of patients admitted to the medical and surgical emergencies department of CHUB over a 5-year period. Patient records admitted and treated for a urological emergency were included. The variables studied were the frequency of urological emergencies, patient age at admission, gender, nature of the emergency, and various therapeutic options. Results: Urological emergencies accounted for 4.3% of all medical and surgical emergencies. The mean age was 57 ± 28 years with a range of 3 to 93 years. The male-to-female ratio was 7.1. The most common conditions were urinary retention (54.67%), hematuria (17.20%), and renal colic (8.13%). Therapeutically, surgical urinary drainage was dominated by cystostomy. Conclusion: Urological emergencies are infrequent at the University Hospital of Brazzaville. Their management is often delayed.