12 Urologic Emergencies Nurses Need to Know

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Specializes in Vents, Telemetry, Home Care, Home infusion.

Excellent Medscape article geared to physicians, with conditions nurses need to be knowledgeable about, especially ED RN's; has pictures and radiology images each condition along with surgical interventions needed. Free registration required. Karen

12 Urologic Emergencies You Need to Know

by Josh Palka, DO | February 12, 2019

Includes:

  1. Paraphimosis
  2. Priapism
  3. Penile Trauma – penile fractures. penile amputation
  4. Fournier Gangrene
  5. Urethral Injuries
  6. Testicular Emergencies – testicular torsion, testicular rupture
  7. Renal Injury
  8. Obstructive Ureteral stones
  9. Bladder Injury
  10. Acute Urinary Retention
  11. Upper Genitourinary Trauma
  12. Lower Genitourinary Trauma
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Specializes in LTC, assisted living, med-surg, psych.

What are the other two? You only listed 10.

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Specializes in ACNP-BC, Adult Critical Care, Cardiology.

I cringe...but thanks for the education @NRSKarenRN

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Specializes in Nephrology, Cardiology, ER, ICU.

11. Fournier's gangrene

12. Urethral injuries

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Specializes in Psych, Corrections, Med-Surg, Ambulatory.

I worked on a urology floor for several years, but I learned a few things from this article.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

added: Upper Genitourinary Trauma, Lower Genitourinary Trauma

I've cared for patients with all of these conditions in my career except for penile amputation.

Kidney stone expert as spouse with 125+ stones, 33yo son with 80+ stones--next lithotrypsy 3/1, younger son with 1; husbands parents, siblings and 3/4 grandchildren all with multiple stones. I made up tee shirts for Christmas one year with picture of a rock quarry + "we leave no stone unturned".

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Specializes in LTC, assisted living, med-surg, psych.
43 minutes ago, NRSKarenRN said:

added: Upper Genitourinary Trauma, Lower Genitourinary Trauma

I've cared for patients with all of these conditions in my career except for penile amputation.

Kidney stone expert as spouse with 125+ stones, 33yo son with 80+ stones--next lithotrypsy 3/1, younger son with 1; husbands parents, siblings and 3/4 grandchildren all with multiple stones. I made up tee shirts for Christmas one year with picture of a rock quarry + "we leave no stone unturned".

I hear ya. I've had five lithotripsies plus a percutaneous nephrolithotomy for kidney stones, and as of last March I had more of the rotten things floating around in my kidneys. My son-in-law has things even worse, he's had somewhere around 75 stones and two lithotripsies. My father and husband also had stones, and on my youngest son's recent CT for other reasons they found one in his right kidney. All in the family!

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Urology is a PAIN... ?? I feel terrible for our poor patients when emergencies arise! Good list!

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As a six-year survivor of metastatic prostate cancer, I just want to thank all the RNs that have so delicately dealt with the issue and respected my anxiety and wishes. It’s helped tremendously. Thank each of you for doing what you do

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Specializes in Vents, Telemetry, Home Care, Home infusion.

Dear son had 17 kidney stones lithotrypsied last week. Rock quarry now over 100 calcium oxolate stones formed despite low oxolate diet, meds ineffective.

Has 10 year love hate relationship with urologist, back to loving as Black Silicone Ureteral Stent caused least discomfort this time.

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Specializes in retired LTC.
On ‎2‎/‎13‎/‎2019 at 3:35 AM, NRSKarenRN said:

... I made up tee shirts for Christmas one year with picture of a rock quarry + "we leave no stone unturned".

Love the Tee Shirt idea. As one who's had gallstones removed, current kidney stones and gout (uric acid crystals), is it any surprise that I would come up with obstructed right salivary gland stones?

My ENT specialist thought it quite funny when I said "I was just full of dirt & rocks".

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