Genitourinary Emergencies in Older Adults - 14/04/21

Doi : 10.1016/j.emc.2021.01.003

Nicole Soria, MD ^a,^b,^{^{1
Present address: 30 East Central Parkway #502, Cincinnati, OH.}} , Danya Khoujah, MBBS, MEHP ^c,^d,^⁎
^a Emergency Medicine, US Acute Care Solutions, Mercy Health West Hospital, Cincinnati, OH, USA
^b Geriatric Division, Department of Family & Community Medicine, University of Cincinnati, Cincinnati, Ohio, USA
^c Emergency Medicine, MedStar Franklin Square Medical Center, 9000 Franklin Square Dr, Baltimore, MD 21237, USA
^d Department of Emergency Medicine, University of Maryland School of Medicine, 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201, USA

^∗Corresponding author. PSC 473 Box 487, FPO, AP 96349.PSC 473 Box 487, FPO, AP 96349

Résumé

Older adults are frequently seen in the emergency department for genitourinary complaints, necessitating that emergency physicians are adept at managing a myriad of genitourinary emergencies. Geriatric patients may present with acute kidney injury, hematuria, or a urinary infection and aspects of how managing these presentations differs from their younger counterparts is emphasized. Older adults may also present with acute urinary retention or urinary incontinence as a result of genitourinary pathology or other systemic etiologies. Finally, genital complaints as they pertain to older adults are briefly highlighted with emphasis on emergent management and appropriate referrals.

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Keywords : Urinary tract infections, Urinary incontinence, Pelvic organ prolapse, Scrotal pain, Urologic trauma, Varicoceles