The aim of this chapter is to provide a state-of-the-art overview of the scientific literature in the field of major urological emergencies, offering a panorama of the most influential articles—defined as the most cited—and including noteworthy articles that deserve special mention, regardless of their recognition. The wide range of urological emergencies, along with the complexities involved in managing them, highlights the need for ongoing research, collaboration, and innovative approaches. Despite the significant progress made in the diagnosis, treatment, and management of these conditions, urological emergencies continue to evolve, requiring sustained scientific attention and effort.