Paediatric Urological Emergencies at Abeche University Hospital
- 1 Urology Department, University Hospital Center, Abeche, Chad
- 2 Urology Department, University Hospital of National Reference, N’Djamena, Chad
- 3 Urology Department, University Hospital Center, Abeche, Chad
- 4 Urology Department, University Hospital of National Reference, N’Djamena, Chad
- 5 Urology Department, University Hospital of National Reference, N’Djamena, Chad
- 6 Urology Department, University Hospital of National Reference, N’Djamena, Chad
- 7 Urology Department, University Hospital of National Reference, N’Djamena, Chad
Abstract
Introduction: Urological emergencies are common and varied, and may be life-threatening or affect the functional prognosis of the urogenital system. Their management requires specialist consultation. The aim of our study was to describe the epidemiological, clinical and therapeutic profile of urological emergencies at Abeche University Hospital. Patients and Method: This was a prospective, descriptive study conducted over a 15-month period from June 2022 to September 2023 at the Abéché University Hospital. Patients of both sexes, aged 0 to 15 years, who gave their consent and presented with a urological emergency were included. The variables studied were sociodemographic, clinical and therapeutic. Results: Urological emergencies accounted for 4.6% of paediatric surgical emergencies. The mean age of our patients was 6.8 years ± 3.2, ranging from 43 days to 15 years. The sex ratio was 3.4. Acute urinary retention was the most common condition, accounting for 64.4% of cases. It was primarily caused by lower urinary tract stones (56.8%). Renal colic accounted for 15.65% of cases, followed by acute pyelonephritis (6.9%) and paraphimosis (4.34%). Urinary drainage was required in 64.34% of cases. The outcome was favourable in 90.2% of cases. Conclusion: Urological emergencies in children are common and varied. They are predominantly characterised by acute urinary retention caused by bladder stones.
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