Table 1.

Common complications of urologic procedures

Procedure	Notes	Complications	ED Management	Disposition
ESWL	Preferred treatment modality for renal and ureteric calculi64,65	Rare but there are reports of visceral and thoracic injuries66–68 Subcapsular hematoma and hematuria is reported from 1% to 20% of patients69–75 Fever and UTI are commonly reported76,77	Consider U/A, type and screen, renal function test, and CBC Administer IV fluids, antiemetic, narcotic for pain, and prophylaxis antibiotics for all77	Urologist ED evaluation vs close outpatient follow-up in 24–48 h
Vasectomy	Most commonly performed urologic surgical procedure78,79	Most common complication is scrotal hematoma formation (2%)80,81 Wound infection, UTI, epididymitis Rare complications include Fournier gangrene and sperm granulomas81–84	Scrotal elevation and support. NSAIDs for pain78,84–90	Urology follow-up in 2–3 d Long-term follow-up recommended because some patients developed chronic testicular pain78,85–88
AUS complications	Device of choice for patients with moderate to severe urinary incontinence91–95	Urinary retention is a common complication Postoperative AUS infection	Place urinary catheter after cuff deactivation96–108 Start antibiotic and consult for admission109	Urologist ED evaluation for AUS evaluation and removal consideration91,109–111

Abbreviations: AUS, artificial urinary sphincter; CBC, complete blood cell count; ESWL, extracorporeal shock wave lithotripsy; NSAID, nonsteroidal anti-inflammatory drug; U/A, urinalysis.