Management of Genitourinary Complaints

Pitfalls that frequently occur in the management of genitourinary complaints and how to avoid them are discussed. Using the urinalysis to rule out renal colic often can lead to misdiagnosis. Once renal colic is diagnosed, remember medical expulsive therapy to augment treatment of these patients. Complicated urinary tract infections are not treated in the same fashion as uncomplicated urinary tract infections. All females of child-bearing age should be presumed pregnant until proven otherwise and, if pregnant, be sure to treat asymptomatic bacteriuria to prevent premature labor. Lastly, torsion is a surgical emergency and should be a consideration on the list of possible diagnoses in all males with scrotal pain and females with lower pelvic pain.