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CHAPTER 119 ■ GENITOURINARY EMERGENCIES DANA A WEISS, CYNTHIA R JACOBSTEIN GOALS OF EMERGENCY CARE Children present to the emergency department (ED) with a wide range of urologic complaints Some are truly emergent, and some are a source of concern but can be handled with simple care and reassurance The ability to triage and treat urologic emergencies is crucial for the ED physician There are only a few true urologic emergencies that must be managed expeditiously: testicular torsion and a febrile obstructing kidney stone top the list In addition, conditions such as paraphimosis and priapism warrant acute attention, while other conditions may require only assurance and close urologic follow-up KEY POINTS Identification of true urologic emergencies (testicular torsion, febrile obstructing stone) Judicial use of imaging in the diagnosis of urgent urologic conditions The value of triage: the expedited versus routine follow-up urologic care Complete genitourinary examination is crucial for all abdominal pain presentations RELATED CHAPTERS