True emergencies of the urinary tract center on three major issues, includi
ng uncontrolled renal hemorrhage, accumulation of urine within the peritone
al cavity or retroperitoneal space, and obstruction to urine outflow. Succe
ssful management of urinary tract emergencies in small animal patients is b
ased not only on the severity of the injury or obstruction but on the condi
tion of the patient at the time of diagnosis and the patient's response to
medical stabilization. When most urinary tract emergencies are initially re
cognized, patients are metabolically and hemodynamically unstable. Therefor
e, urinary tract emergencies are first regarded as medical emergencies, and
emergency surgical procedures are aimed at patient stabilization and lifes
aving measures.