Genitourinary Emergencies in Older Adults

Emerg Med Clin North Am. 2021 May;39(2):361-378. doi: 10.1016/j.emc.2021.01.003. Epub 2021 Mar 11.


Older adults are frequently seen in the emergency department for genitourinary complaints, necessitating that emergency physicians are adept at managing a myriad of genitourinary emergencies. Geriatric patients may present with acute kidney injury, hematuria, or a urinary infection and aspects of how managing these presentations differs from their younger counterparts is emphasized. Older adults may also present with acute urinary retention or urinary incontinence as a result of genitourinary pathology or other systemic etiologies. Finally, genital complaints as they pertain to older adults are briefly highlighted with emphasis on emergent management and appropriate referrals.

Keywords: Pelvic organ prolapse; Scrotal pain; Urinary incontinence; Urinary tract infections; Urologic trauma; Varicoceles.

Publication types

  • Review

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Asymptomatic Diseases
  • Elder Abuse / diagnosis
  • Emergencies
  • Female
  • Female Urogenital Diseases / diagnosis*
  • Female Urogenital Diseases / etiology
  • Female Urogenital Diseases / therapy
  • Humans
  • Male
  • Male Urogenital Diseases / diagnosis*
  • Male Urogenital Diseases / etiology
  • Male Urogenital Diseases / therapy
  • Medical History Taking
  • Medication Reconciliation
  • Physical Examination
  • Urinalysis


  • Anti-Bacterial Agents