Özet:

This study was aimed at investigating the epidemiological, clinical diagnosis and treatment options of urological emergencies applied to the Karabuk State Hospital. The urological emergency cases applied to the Karabük State Hospital Emergency Service between December 2006 and December 2008 were examined retrospectively. Of the 207.568 emergency applications, 5.544 (2.67) were urological. 45.3 percent of the cases were men (medium age: 47.4), 54.6 percent women (medium age: 37.9), 5.2 percent children, 13.24 percent over the age of 70. The most common group of incidents were genitourinary system infections with 54.15%. This was followed by incidents of renal colic (33.1%) and acute urine retention (7.97%). Genitourinary system trauma was observed in 72 (1.3%). 490 of the cases (8.83) were treated by hospitalization and 98 (1.76) were subjected to emergency surgery. Percutan was a systostomy-applicated (60 cases, 61.22%) surgery. Only 6 cases were referred to another center. It was necessary for the urologist to come to the hospital for consultation in 502 (9,05) cases. In literature, epidemiological data concerning the urological group of patients applying for emergency services are limited. Studies with large groups of patients are needed to increase these data. Although most urological emergency phenomena do not require an urgent surgery, making a quick decision on treatment will sometimes prevent late complications from developing. Therefore, it is necessary that the doctors working in emergency services be awake against urological emergencies.

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