盧致誠 范文宙 鄭哲舟
奇美醫療財團法人柳營奇美醫院 外科部 泌尿外科
Clincial analysis of pediatric urological consultation in the emergency department in a regional hospital
Chih-Cheng Lu, Wen-Chou Fan, Tse-Chou Cheng
Division of Urology, Department of Surgery, Chi Mei Medical Center, Liouying, Tainan
This study is to explore the incidence and characteristics of pediatric patients who need urgent urological opinions in the emergency department.
Materials and Methods:
A retrospective chart review study was performed. Documented consecutive urological consultations for the patients admitted to the emergency department of a rural regional teaching hospital were enrolled. Detailed clinical information was recorded using standardized form. We focused on the pediatric related issues.
From September 1, 2012 to August 31, 2013, 1181 documented urological consultations were recorded. Total 84 sessions were urgent consultations from emergency department. Pediatric related problems were 3.5% (3/84). Among them, two were for penile prepuce injuries by dog-bite and zipper, and the other was for possible torsion of testis. Mean age was 9.3 years (8 to 10 years). No instant mortality was noted.
Only a few cases of pediatric urological consultation imply that most cases could be handled by the emergency department physicians. Trauma and equivocal testicular urgent problems are the major reasons of urological consultation. Further investigation is needed to confirm the findings.