Urological Emergencies In Clinical Practice

by Hashim, Hashim; Reynard, John; Cowan, Nigel C.

• ISBN13: 9781852338114
• ISBN10: 1852338113
• Format: Paperback
• Copyright: 2004-12-30
• Publisher: Springer Nature

Summary

Urological Emergencies in Clinical Practice summarizes adult and pediatric urological emergencies and their management, diagnosis and treatment, in a concise, relevant and readily available form. Signs and symptoms are listed and specific treatments explained. This is a simple yet practical guide to the management of urological emergencies with an emphasis on common urological emergencies seen in everyday practice. Any clinician without previous urological knowledge will be able to make an accurate diagnosis and have a treatment plan to follow. A user-friendly pocketbook, this is easy to refer to in an emergency situation. Each chapter is clearly marked, separated and organized into sections with heading of Signs, Symptoms, Diagnosis and Management placed in a numbered fashion similar to an objective structured clinical examination. Some sections also have useful hints and tips. Aimed at residents in urology, it will also be useful to accident and emergency doctors and primary care physicians.

Table of Contents

Foreword	ix
Noel A. Armenakas
Presenting Symptoms of Urological Emergencies	1	(8)
Hashim Hashim
John Reynard
Flank Pain	1	(1)
Haematuria	2	(2)
Oliguria, Anuria, and Inability to Pass Urine	4	(1)
Suprapubic Pain	5	(1)
Scrotal Pain and Swelling	5	(1)
Priapism	6	(1)
Back Pain and Urological Symptoms	6	(3)
Lower Urinary Tract Emergencies	9	(8)
John Reynard
Acute Urinary Retention	9	(3)
Is It Acute or Chronic Retention?	12	(2)
What to Do Next for the Man with Acute Retention	14	(1)
Retention in Patients with a Catheterisable Stoma	15	(2)
Nontraumatic Renal Emergencies	17	(28)
John Reynard
Acute Flank Pain---'Ureteric' or `Renal' Colic	17	(15)
Acute Pyelonephritis	32	(4)
Pyonephrosis	36	(1)
Perinephric Abscess	37	(1)
Emphysematous Pyelonephritis	38	(3)
Acute Pyelonephritis, Pyonephrosis, Perinephric Abscess, and Emphysematous Pyelonephritis---Making the Diagnosis	41	(1)
Xanthogranulomatous Pyelonephritis	42	(3)
Other Infective Urological Emergencies	45	(9)
Hashim Hashim
John Reynard
Urinary Septicaemia	45	(3)
Pyelonephritis and Pyonephrosis	48	(1)
Prostatic Infections and Prostatic Abscess	48	(1)
Fournier's Gangrene	49	(2)
Epididymo-Orchitis	51	(2)
Periurethral Abscess	53	(1)
Traumatic Urological Emergencies	54	(71)
John Reynard
Renal Injuries	54	(9)
Ureteric Injuries	63	(20)
Pelvic Fractures and Injuries to the Urinary System	83	(14)
Bladder Injuries	97	(12)
Posterior Urethral Injuries	109	(1)
Anterior Urethral Injuries	109	(4)
Testicular Injuries	113	(2)
Penile Injuries	115	(3)
Penile Fracture	118	(7)
Scrotal and Genital Emergencies	125	(16)
John Reynard
Hashim Hashim
Torsion of the Testis and Testicular Appendages	125	(7)
Priapism	132	(3)
Paraphimosis	135	(2)
Foreign Bodies in the Urethra and Attached to the Penis	137	(4)
Postoperative Emergencies After Urological Surgery	141	(10)
Hashim Hashim
John Reynard
Shock Due to Blood Loss	141	(1)
Anaphylaxis After Administration of Intravenous Contrast or Antibiotics	142	(2)
Scrotal Swelling After Scrotal Surgery	144	(1)
Wound Dehiscence Leading to Burst Abdomen	145	(1)
Postcircumcision Bleeding	146	(1)
Blocked Catheter Post-Transurethral Resection of the Prostate (TURP) and Clot Retention	146	(1)
Extraperitoneal Perforation During TURP	147	(1)
The Transurethral Resection (TUR) Syndrome	147	(1)
Displaced Catheter Post-Radical Prostatectomy	148	(1)
Compartment Syndrome of the Lower Limb Associated with the Lithotomy Position	148	(3)
Ureteric Colic in Pregnancy	151	(9)
John Reynard
The Hydronephrosis of Pregnancy	151	(1)
Presentation of Stones in Pregnancy	152	(1)
What Imaging Study Should Be Used to Establish the Diagnosis of a Ureteric Stone in Pregnancy	152	(4)
Management of Ureteric Stones in Pregnant Women	156	(4)
Management of Urological Neoplastic Conditions Presenting as Emergencies	160	(7)
John Reynard
Hashim Hashim
Testicular Cancer	160	(1)
Malignant Ureteric Obstruction	160	(3)
Spinal Cord Compression in Patients with Urological Disease	163	(4)
Common Emergency Urological Procedures	167	(16)
John Reynard
Nigel Cowan
Urethral Catheterisation	167	(1)
Suprapubic Catheterisation	168	(2)
Bladder Washout for Blocked Catheter	170	(1)
Blocked Catheters Following Bladder Augmentation or Neobladder	170	(1)
JJ Stent Insertion	171	(5)
Percutaneous Nephrostomy Insertion	176	(1)
Failure to deflate catheter balloon for removal of a urethral catheter	176	(7)
Index	183