Profile of Urological Emergency Admissions at a University Hospital in Morocco: A Retrospective Study Over 18 Months

Introduction: Urological emergencies represent a substantial component of hospital activity but remain poorly documented in Morocco.The aim of this study was to describe the epidemiological, clinical, and therapeutic profile of urological emergencies requiring hospitalization at a university hospital in Morocco, in order to establish a reliable reference database.Methods: We conducted a retrospective descriptive study between January 2024 and June 2025 including all patients admitted for urological emergencies requiring hospitalization.Data were extracted from the hospital information system (HIS).Demographic characteristics, reasons for admission, complementary examinations, final diagnoses, treatments, and lengths of stay were analyzed.Results: Among 2,106 hospitalizations, 339 were related to a urological emergency (16.09%).The population was predominantly male (79.6%; male-to-female ratio 3.9:1), with a mean age of 58.2 years and a peak incidence between 65 and 69 years.The most frequent emergencies were complicated renal colic (42.18%; 143 cases), macroscopic hematuria (17.40%; 59 cases), and acute scrotum (16.22%; 55 cases).Infectious emergencies accounted for 46% of admissions (156 cases), mainly obstructive pyelonephritis (57.05%) and complicated prostatitis (16.7%).The median length of hospital stay was three days, with longer stays observed in severe conditions such as Fournier's gangrene and urinary peritonitis (up to seven days).A total of 241 patients (71.09%) required surgical intervention, primarily upper urinary tract drainage (61.8%) and exploratory scrototomy (22.4%).Conclusion: In our setting, urological emergencies requiring hospitalization were dominated by complicated renal colic.The implementation of HIS and the involvement of multiple physicians have significantly improved patient traceability and represent a valuable tool for epidemiological analysis.