KASMEJ
Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

eISSN: 2757-9336
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
A retrospective evaluation of patients with genitourinary system symptoms in a pediatric emergency department
Abstract
Aims: Pediatric genitourinary system symptoms are one of the principal causes of admission to pediatric emergency departments (PEDs). This study describes the characteristics and management of genitourinary system symptoms in patients admitted to our PED.
Methods: This retrospective, observational study was conducted in a PED at Samsun University between January 2019 and October 2023. Children younger than 18 who presented to our PED and were diagnosed with urogenital pathologies were included. The patients’ sex, age, arrival time, presenting complaint, diagnosis, length of stay in the emergency room, emergency surgery requirements, and length of hospital stay were extracted from the electronic medical records.
Results: A total of 1265 children with a mean age of 8.2±5.17 years, 855 (67.6%) boys and 410 (32.4%) girls, presented to the PED during the study period. The mean duration of symptoms was 10.95±5.01 hours. The most common presentation symptoms were dysuria (40.9%), scrotal pain/swollen/erythema (32.5%), and fever (11.8%), while the most common diseases were urinary tract infection (56.5%), epididymitis/epididymo-orchitis (24.8%), and testicular torsion (4%). The mean time from diagnosis to treatment was 2.9±0.82 hours, and the mean time elapsing in the waiting room was 3.4±1.01 hours. Two hundred ninety-five (23.3%) patients were hospitalized, while emergency surgical procedures were performed on 82 (6.5%).
Conclusion: The majority of children presenting due to genitourinary system symptoms can be safely treated in the emergency room. Severe urological emergencies resulting in morbidity and mortality in pediatric patients are rare.

Keywords : Children, genitourinary system, pediatric emergency

Download Article


1. Guo LL, Guo LY, Li J, et al. Characteristics and admission preferences of pediatric emergency patients and their waiting time prediction using electronic medical record data: retrospective comparative analysis. J Med Internet Res. 2023;25:e49605. doi:10.2196/49605
2. Fernandez A, Benito J, Mintegi S. Is this child sick? Usefulness of the pediatric assessment triangle in emergency settings. J Pediatr (Rio J). 2017;93(Suppl 1):60-67. doi:10.1016/j.jped.2017.07.002
3. NDoye NA, NDour O, Faye ALF, et al. Urological emergencies in paediatric surgery: a survey of 40 cases. Mali Med. 2015;30(2):33-35.
4. Emeka CK, Patrick AL, Ikemefuna OI. Pediatric urological emergencies: epidemiology, pattern and treatment outcome. J Critical Care Emerg Med. 2022;1(2):1-4. doi:10.47363/JCCEM/2022(1)104
5. Lambert SM. Pediatric urological emergencies. Pediatr Clin North Am. 2012;59(4):965-976. doi:10.1016/j.pcl.2012.05.014
6. deVries CR. A global view of pediatric urology. J Pediatr Urol. 2022;18(3): 271-279. doi:10.1016/j.jpurol.2022.02.002
7. Hamza BK, Ahmed M, Tolani MA, et al. Spectrum of urological emergencies and surgical interventions in a single tertiary health center. Afr J Emerg Med. 2021;11(2):223-226. doi:10.1016/j.afjem.2021.02.003
8. Traore MT, Yameogo CA, Kabore M, Ouedraogo S. Epidemiology of urological emergencies at the regional university hospital center of ouahigouya, burkina faso. Open J Urol. 2020;10:177-183. doi:10.4236/oju. 2020.106020
9. Cetin N, Tomruk O, Beydilli H, Serel T. Retrospective evaluation of children patients with genitourinary symptoms in emergency department. Med J SDU. 2009;11(3):16-18.
10. Tishberg LM, Kusulas MP. Management of pediatric urinary tract infections in the emergency department. Pediatr Emerg Med Pract. 2024;21(1):1-28.
11. Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/peds.2021-055866
12. Zambaiti E, Cerchia E, Guanà R, et al. Testicular torsion during the COVID-19 pandemic: results of a multicenter study in northern Italy. J Pediatr Urol. 2022;18(4):530.e1-530.e6. doi:10.1016/j.jpurol.2022.06.010
13. Yen CW, Chang YJ, Ming YC, Gau CC, Wu CT, Lee J. Factors determining testicular torsion and consequent orchiectomy in pediatric patients presenting with scrotal pain. Pediatr Emerg Care. 2023;39(10):744-750. doi:10.1097/PEC.0000000000003037
14. Romao RLP, Anderson KH, MacLellan D, Anderson P. Point-of-care influences orchiectomy rates in pediatric patients with testicular torsion. J Pediatr Urol. 2019;15(4):367.e1-367.e7. doi:10.1016/j.jpurol.2019.04.014
15. Pogorelic Z, Anand S, Artukovic L, Krishnan N. Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus disease 2019 (COVID-19) pandemic versus the pre-pandemic period: a systematic review and meta-analysis. J Pediatr Urol. 2022;18(2):202-209. doi:10.1016/j.jpurol.2022.01.005
16. Ekwunife OH, Ugwu JO, Okoli CC, Modekwe VI, Osuigwe AN. Parental circumcision preferences and early outcome of plastibell circumcision in a Nigerian tertiary hospital. Afr J Paediatr Surg. 2015;12(4):251-256. doi:10. 4103/0189-6725.172565
17. Radmayr C, Oswald J, Müller E, Höltl L, Bartsch G. Blunt renal trauma in children: 26 years clinical experience in an alpine region. Eur Urol. 2002;42(3):297-300. doi:10.1016/s0302-2838(02)00317-2
18. Sarıkaya SS, Yucel C, Karsiyakali N, et al. Analysis of urinary stone types’ distribution in Turkey according to the geographical regions where patients were born and live: a cross-sectional single-center experience. Gulhane Med J. 2020;62(3):163-169. doi:10.4274/gulhane.galenos.2020.978
19. Baştuğ F, Ağbaş A, Tülpar S, et al. Comparison of infants and children with urolithiasis: a large case series. Urolithiasis. 2022;50(4):411-421. doi:10.1007/s00240-022-01327-0
20. Doven SS, Vatansever ED, Isbir C, Nayci A, Delibaş A. Pediatric urinary stone disease: experience from a Turkish tertiary referral center. Cukurova Med J. 2022;47(1):44-49. doi:10.17826/cumj.994606
21. Nelson R, Stamm J, Timmons Z, Grimsby GM. Management of pediatric ureterolithiasis in the emergency room: a single institution review and new management pathway. J Pediatr Urol. 2023;19(2):177.e1-177.e6. doi: 10.1016/j.jpurol.2022.11.015
22. Erikci VS, Hoşgör M, Aksoy N, et al. Treatment of acute scrotum in children: 5 years’ experience. Ulus Travma Acil Cerrahi Derg. 2013;19(4): 333-336. doi:10.5505/tjtes.2013.82783
23. Aeschimann E, Sanchez O, Birraux J, Wildhaber BE, Manzano S. How useful is a complete urinary tract ultrasound in orchiepididymitis? PLoS One. 2022;17(2):e0263934. doi:10.1371/journal.pone.0263934
24. Cristoforo TA. Evaluating the Necessity of antibiotics in the treatment of acute epididymitis in pediatric patients: a literature review of retrospective studies and data analysis. Pediatr Emerg Care. 2021;37(12): e1675-e1680. doi: 10.1097/PEC.0000000000001018
25. Tan Tanny SP, Wijekoon N, Pacilli M, Nataraja RM. Clinical state of the paediatric acute scrotum in south-eastern Victoria. ANZ J Surg. 2019; 89(12):1615-1619. doi:10.1111/ans.15399
Article available in :
Volume 5, Issue 1, 2025
Page : 35-39
https://doi.org/10.51271/KMJ-0180
Article Information
Received : 18 May 2024
Accepted : 09 Ara 2024
Published : 04 Mar 2025
Corresponding Author :

Ekrem Akdeniz: Department of Urology, Samsun Training and Research Hospital, Samsun, Turkiye

[email protected]
Citation : Akdeniz E, Samut Bülbül S. A retrospective evaluation of patients with genitourinary system symptoms in a pediatric emergency department. Kastamonu Med J. 2025;5(1):35-39.

Read: 64
Cited: 0
Download : 49
_Footer