[Epidemiology of urological emergencies in France]

Abstract

Introduction: To report the epidemiology and the care pathway for urological emergencies in France for the official report of the 115th Congres Francais d'Urologie.

Methods: We made a request to the Institut de Veille Sanitaire and its network Surveillance Sanitaire des Urgences et des Décès (SurSaUD®). Within this system, the OSCOUR® network (Organisation de la surveillance coordonnée des urgences) centralizes in real time the data of emergency visits from more than 720 emergency departments throughout the national territory (>93% of the national territory covered by the OSCOUR® network). For each emergency defined by its CIM-10 code, the following data were collected from 2014 to 2019: age, gender, length of stay and post-emergency status (hospitalization vs. return home).

Results: From 2014 to 2019, urological emergencies represented on average 4.2% of all emergencies, with an average 591,080±66,782 passages/year including 25% that resulted in hospitalization. Infectious disease represented 35% of all urological emergencies. The 3 most common urologic emergencies were: renal colic, acute urine retention and hematuria for men; acute cystitis, pyelonephritis and renal colic for women.

Conclusion: In an analysis of the OSCOUR® (Organisation de la surveillance coordonnée des urgences) registry, we determined the epidemiological profiles of the main urological emergencies with contemporary data.

Keywords: Acute urinary retention; Colique néphrétique; Cystite; Emergency; Prostatite; Prostatitis; Pyelonephritis; Pyélonéphrite; Renal colic; Rétention aiguë d’urine; Urgences; Urologie; Urology.