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[Rare emergencies in urology].

P Chiron1, P-H Savoie2, R Boissier3

  • 1Service d'urologie, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 22, 2021
PubMed
Summary
This summary is machine-generated.

This review highlights rare urological emergencies, including infectious, ischemic, and hemorrhagic conditions, emphasizing the need for prompt recognition and management to reduce patient morbidity and mortality.

Keywords:
CalciphylaxieCalciphylaxisCystite emphysémateuseEmphysematous cystitisFournier's gangreneGangrène de FournierHematuriaHématuriePyélonéphrite xanthogranulomateuseXanthogranulomatous pyelonephritis

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Area of Science:

  • Urology
  • Emergency Medicine

Background:

  • Rare but serious urological emergencies can occur in clinical practice.
  • These conditions often present diagnostic and therapeutic challenges due to a lack of established management guidelines.

Purpose of the Study:

  • To identify and describe rare urological emergencies.
  • To outline the primary principles for managing these critical conditions.

Main Methods:

  • A systematic literature review was conducted using PubMed, Embase, and Google Scholar from January 2000 to June 2021.
  • 24 relevant articles, including original research, meta-analyses, and guidelines, were selected and analyzed.

Main Results:

  • Identified rare emergencies include infectious (e.g., xanthogranulomatous pyelonephritis, emphysematous cystitis), ischemic (e.g., Fournier's gangrene), and hemorrhagic (e.g., spontaneous adrenal hematoma) conditions.
  • These emergencies often lack consensus on management, posing significant diagnostic and therapeutic difficulties.

Conclusions:

  • Early recognition of these rare urological emergencies is crucial for timely treatment.
  • Improved knowledge and diagnostic/therapeutic advancements can improve patient outcomes and reduce mortality.