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1. GENERAL
SURGERY II
DR. PRAH KWAME GEORGE

2. PRESENTATION ON FIRST
AID MANAGEMENT OF
URINE RETENTION,
By
JOHN HARDYSON OWUSU ANSAH
EMILY HANYABUI
EMMANUEL ACKAH
ELIZABETH VILLARS
HAWAWU MUSTHAPHA
TOMAS LOGOTOA I
ANIAH JOSEPH

3. OUTLINE
• DEFINITION
• TYPES
• CAUSES
• FIRST AID MANAGEMENT
• CONCLUSION
• TAKE HOME NOTE

4. OBJECTIVE
• By the end of the presentation you should be able
to
• Identify common genito-urinary emergencies
• Give first aid management of genito-urinary
emergencies

5. INTRODUCTION

6. DEFINITION
Urologic emergency arises when
a condition require rapid
diagnosis and immediate
treatment
Compared to other surgical fields
there are relatively few
emergencies in urology

7. TYPES
Non traumatic:
Hematuria
Renal Colic
Urinary Retention
Acute Scrotum
Traumatic:
Urethral Injury

8. Hematuria
Blood in the urine
Types:
Macroscopic ( frank, or gross
hematuria)/ Dipstick hematuria /
Microscopic hematuria ( the
presence of >3 red blood cells
per high power microscopic
field).
Painless or painful.

9. ACUTE FLANK
PAIN—URETERIC
OR RENAL COLIC
The commonest urologic
emergency.
One of the commonest causes of
the “Acute Abdomen”.
Sudden onset of severe pain in
the flank
Most often due to the passage of
a stone formed in the kidney,
down through the ureter.

10. Acute
Management of
Ureteric Stones:
Pain relief
NSAIDs
Intramuscular or intravenous
injection, by mouth, or per
rectum
Opiate analgesics (pethidine or
morphine).
Medical Expulsion Theraphy
(MET)
Alpha blocker (1x1)
Given for 2 weeks
95% of stones measuring 5mm or
less pass spontaneously

11. Urinary
Retention
Acute Urinary retention
Chronic Urinary retention

12. Acute Urinary
retention
Painful inability to void, with
relief of pain following drainage
of the bladder by catheterization.

13. Causes :
• Men:
• Benign prostatic enlargement (BPE) due to BPH
• Carcinoma of the prostate
• Urethral stricture
• Prostatic abscess
• Women
• Pelvic prolapse (cystocoele, rectocoele, uterine)
• Urethral stricture;
• Urethral diverticulum;
• Post surgery for ‘stress’ incontinence
• pelvic masses (e.g., ovarian masses)

14. Initial Management :
• Urethral catheterisation
• Suprapubic catheter ( SPC)

15. SUPRAPUBIC
ASPIRATION
Simple procedure
Act as temporary drainage
Using large bore of abocath