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Diagnostic and therapeutic urologic procedures.

R J Stine¹, J A Avila, M F Lemons

¹University of Massachusetts Medical School, Worcester.

Emergency Medicine Clinics of North America

|August 1, 1988

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Emergency physicians can use various urologic procedures and diagnostic imaging for urinary tract disorders. This guide covers urinalysis, radiology, and key urologic interventions, detailing their use, risks, and benefits.

Area of Science:

Emergency medicine
Urology
Diagnostic imaging

Background:

Urinary tract disorders require prompt diagnosis and management.
Emergency physicians need accessible tools for urologic assessment.

Purpose of the Study:

To present urologic procedures relevant to emergency physicians.
To outline diagnostic and management strategies for urinary tract disorders.

Main Methods:

Review of diagnostic radiologic modalities including KUB film, intravenous pyelography, retrograde cystourethrography, computerized tomography, angiography, ultrasonography, and renal scintigraphy.
Discussion of urologic procedures such as urethral catheterization, percutaneous suprapubic cystostomy, suprapubic bladder aspiration, dorsal-slit procedure, and meatotomy.
Presentation of indications, contraindications, methods, and complications for each procedure.

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Main Results:

Urinalysis is a fundamental diagnostic tool.
Multiple radiologic techniques offer diverse diagnostic capabilities for the urinary tract.
Key urologic procedures provide essential management options for emergency settings.

Conclusions:

Emergency physicians can effectively diagnose and manage urinary tract disorders using the discussed urologic procedures and imaging.
Understanding the indications, contraindications, and complications of these interventions is crucial for safe and effective patient care.