This is a comprehensive textbook covering one of the few remaining blind spots on the map of urological literature. To date only a small number of publications have been dedicated to the topic of urgent and emergent problems in urology, important though they are in everyday clinical medicine. The editors are both internationally recognized urological experts and have made the effort to present an in-depth study into virtually every possible urgent urological situation with which a urologist may be confronted today. Thus the book includes chapters on topics such as urological trauma, urosepsis, urinary obstruction, oncological emergencies, intra- and postoperative complications, acute problems in children, and many more.

Dr. Santucci is the Chief of Urology at the Detroit Receiving Hospital, one of the nation's first Level I trauma center and the only hospital built from the ground up to serve as a trauma hospital. He is an Assistant Professor at the Wayne State University and is a widely published expert in the field of trauma and emergency urology. Dr. Santucci also serves as the Director of the Center for Urologic Reconstruction(TM) at Detroit Receiving Hospital. The Center is a regional referral center for difficult cases in urologic reconstruction, including urethral injury, urethral stricture, and complex reconstructive problems of the bladder, ureters and kidneys.

Dr. Hohenfellner is Chair of The Department of Urology of the University of Heidelberg, Medical School. His institution is consequently organized to function in a high-level interdisciplinary environment and addresses all the contemporary clinical challenges: urologic oncology, minimal invasive surgery, reconstructive surgery, pediatric urology, lower urinary tract dysfunction, stone disease and andrology. Dr. Hohenfellner is chairman of the EAU Working Group on Urologic Trauma. He is also the responsible representative of the German Urological Association to establish guidelines on Urologic Trauma.

1;Preface;6 2;The Editors;8 3;Contents;9 4;List of Contributors;18 5;Urologic Emergencies: Overview ;24 6;The Clinical Approach to the Acutely Ill Patient;25 7;New Developments in Anesthesia;31 8;Anaphylaxis;55 9;Urosepsis;68 10;Fournier's Gangrene;73 11;Urologic Emergencies in Pregnant Women: Special Considerations;84 12;Urologic Emergencies in Children: Special Considerations;96 13;Autonomic Dysreflexia and Emergencies in Neurogenic Bladder;124 14;Failure of Urinary Drainage: Upper Urinary;127 15;Failure of Urinary Drainage: Lower Tract;141 16;Scrotal Emergencies;155 17;Oncologic Emergencies;165 18;Urologic Paraneoplastic Syndromes;195 19;Trauma;206 19.1;Urologic Trauma: General Considerations ;206 19.2;Modern Trauma: New Mechanisms of Injury Due to Terrorist Attacks;208 19.3;Mass Casualties: Urologic Aspects of Triage and Definitive Management;215 19.4;Renal Trauma ;224 19.5;Trauma of the Ureter ;256 19.6;Bladder Trauma;269 19.7;Genital Trauma;283 19.8;Management of Penile Amputation;293 19.9;Urethral Trauma;299 20;Priapism;323 21;Intraoperative Complications;335 21.1;Management of Intraoperative Complications in Open Procedures;335 21.2;Complications in Endoscopic Procedures;349 21.3;TUR- Related Complications;357 21.4;Complications in Laparoscopic Surgery;371 22;Postoperative Complications ;386 22.1;Acute Postoperative Complications;386 22.2;Preventing and Managing Infectious Emergencies of Urologic Surgery;452 22.3;Emergencies in Continent Bladder Replacement;466 22.4;Emergencies Following Renal Transplantation;473 22.5;Open Salvage Surgery;488 23;Surgical Techniques: Endoscopic and Percutaneous Procedures;508 24;Interventional Radiology in Emergencies in Urology;518 25;Selected Case Reports and Personal Experience ;539 25.1;Percutaneous Approach for Difficult Stones;540 25.2;The Relaxing Incision for Priapism;542 25.3;Priapism Redux;543 25.4;Iatrogenic Pathology, Undiversion, Contralateral Renal Autotransplantation;544 25.5;Deferred Emergency Surgery of Total Rupture of the Posterior Urethra;547 25.6;Surgery of Complicated Horseshoe Kidney;551 25.7;Cold Fire;555 25.8;Lost in the Kidney;557 25.9;A Rare Accident;558 25.10;Appendectomy;560 25.11;Posterior Sagittal Approach in Pediatric Urology;562 25.12;Postoperative Urinary Retention After Hypospadias Repair;569 25.13;Hairs in the Urethra of a Hypospadias Patient;570 25.14;A Tale of Two Brothers;571 25.15;Unfortunate Honeymoon Under the Palm Trees;573 25.16;Intravenous Uroperitoneogram;575 25.17;Coitus Interruptus;576 25.18;Exploding Bladder;577 25.19;Education by Humiliation;578 25.20;Vena Caval Injury;579 25.21;False Sepsis and Advanced TCC;580 25.22;Laparoscopic Vascular Emergency;581 25.23;Percutaneous Nephrolithotomy;582 25.24;Bladder Tumor;583 25.25;Frenulum;584 25.26;Penile Fracture Associated with Urethral Rupture and Its Complex Repair;585 25.27;Low- Flow Priapism in Children;587 25.28;Tragic Complications of Missed Urethral Injury;589 25.29;Keep Looking;590 25.30;What Goes in Must Come Out;591 25.31;Metabolic Dangers of the Neobladder;592 25.32;Torsion After Minor Insult;593 25.33;Fleas and Lice at the Same Time;594 25.34;Continent Urinary Diversion for the Treatment of Urinary Fistulae Through a Sacral Scar in a Paraplegic Patient;595 25.35;Entrapped Foley Catheter After Radical Prostatectomy;597 25.36;Unexpected Inferior Vena Caval Thrombus;598 25.37;The Lord of the Rings - Fournier's Gangrene as a Consequence of Strangulating Testicular Rings;599 26;Overall Reference List;604 27;Subject Index;669