Management of Patients Who Seek Urologic Care in Covid-19 Pandemic Era
5 January 2019
Introduction: Novel coronavirus Disease (Covid-19) has emerged in Wuhan, China in December 2019 and became a pandemic in a few weeks. In this review, we aimed to summarize the current urologic practice trends worldwide to help urologist in decision making in disasters particularly in Covid-19 pandemic.
Material and Method: We have performed a PubMed and Internet search by using the keywords: ‘Covid’, ‘new coronavirus’, ‘coronavirus urology, ‘covid urology’ without a date restriction.
Results: All elective surgeries for benign urological conditions such as urinary tract stone disease that not caused complicated obstruction, benign prostate enlargement, infertility, incontinence and genitourinary prolapse, erectile dysfunction undescendent testis, vesico-ureteral reflux should be postponed till the lasting of Covid-19 outbreak. In obstructing ureteral stone both nephrostomy tube and double-J stent insertion are valid management options. However, one must consider that these procedures must be performed under local anesthesia when possible to spare a ventilator. When deferring urooncological operations and treatments oncological outcomes must be considered. Aggressive cessation or reducing the dosage of immunosuppressant therapy might be an option in renal transplanted patients with severe pneumonia or acute respiratory distress syndrome.
- new coronovirus
Li Q, Guan X, Wu P, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med. 2020;382:1199-207.
Ficarra V, Novara G, Abrate A, et al. Urology practice during COVID-19 pandemic. Minerva Urol Nefrol. 2020.
Ribal M, Conford P, Briganti A, Knoll T, Gravas S. EAU Guidelines Office Rapid Reaction Group:
An organisation-wide collaborative effort to adapt the EAU guidelines recommendations to
the COVID-19 era. https://uroweb.org/wp-content/uploads/EAU-Guidelines-Office-Rapid-Reaction-Group-An-organisation-wide-collaborative-effort-to-adapt-the-EAU-guidelines-recommendations-to-the-COVID-19-era.pdf. Accessed 4.20.2020.
Pandey S, Sankhwar SN, Goel A, et al. Quick Sequential (Sepsis related) Organ Failure Assessment: A high performance rapid prognostication tool in patients having acute pyelonephritis with upper urinary tract calculi. Investigative and Clinical Urology. 2019;60:120.
Stensland KD, Morgan TM, Moinzadeh A, et al. Considerations in the Triage of Urologic Surgeries During the COVID-19 Pandemic. Eur Urol. 2020;Accepted A.
Sivalingam S, Tamm-Daniels I, Nakada SY. Office-based Ureteral Stent Placement Under Local Anesthesia for Obstructing Stones Is Safe and Efficacious. Urology. 2013;81:498-502.
Hussein NS, Norazan MR. Impact of Self-Watching Double J Stent Insertion on Pain Experience of Male Patients: A Randomized Control Study Using Visual Analog Scale. ISRN Urology. 2013;2013:1-5.
Polat H, Yucel MO, Utangac MM, et al. Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches. Balkan Med J. 2017;34:301-7.
Grases F, Torrecilla C, Fernández-Concha J, et al. 2020.
Tenke P, Kovacs B, Benkõ R, Ashaber D, Nagy E. Continuous versus intermittent levofloxacin treatment in complicated urinary tract infections caused by urinary obstruction temporarily relieved by foreign body insertion. International Journal of Antimicrobial Agents. 2006;28:82-5.
Sica A, Massarotti M. Myeloid suppressor cells in cancer and autoimmunity. J Autoimmun. 2017;85:117-25.
Bitterman R, Eliakim-Raz N, Vinograd I, Zalmanovici Trestioreanu A, Leibovici L, Paul M. Influenza vaccines in immunosuppressed adults with cancer. Cochrane Database Syst Rev. 2018;2:CD008983.
Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol. 2020;21:335-7.
Ahmed K, Hayat S, Dasgupta P. Global challenges to urology practice during COVID-19 pandemic. BJU Int. 2020.
Carneiro A, Wroclawski ML, Nahar B, et al. Impact of the COVID-19 Pandemic on the Urologist's clinical practice in Brazil: a management guideline proposal for low- and middle-income countries during the crisis period. Int Braz J Urol. 2020;46.
Goldman HB, Haber GP. Recommendations for Tiered Stratification of Urological Surgery Urgency in the COVID-19 Era. Journal of Urology. 2020.
Ho HC, Hughes T, Bozlu M, Kadioglu A, Somani BK. What do urologists need to know: Diagnosis, treatment, and follow-up during COVID-19 pandemic. Turk J Urol. 2020.
Desouky E. Urology in the Era of COVID-19: Mass Casualty Triage. Urology Practice. 2020.
Katz EG, Stensland KS, Mandeville JA, et al. Triaging Office-Based UrologY Procedures During the COVID-19 Pandemic. Journal of Urology. 2020.
Hegarty PK, Sfakianos JP, Giannarini G, DiNardo AR, Kamat AM. COVID-19 and Bacillus Calmette-Guérin: What is the Link? European Urology Oncology. 2020.
Organization WH. 2020.
Wang J, Li X, Cao G, Wu X, Wang Z, Yan T. COVID-19 in a Kidney Transplant Patient. Eur Urol. 2020.
de Wilde AH, Zevenhoven-Dobbe JC, van der Meer Y, et al. Cyclosporin A inhibits the replication of diverse coronaviruses. Journal of General Virology. 2011;92:2542-8.
Zhang H, Chen Y, Yuan Q, et al. Identification of Kidney Transplant Recipients with Coronavirus Disease 2019. Eur Urol. 2020.
Pineda M, Burnett AL. Penile Prosthesis Infections-A Review of Risk Factors, Prevention, and Treatment. Sex Med Rev. 2016;4:389-98.
El-Qushayri AE, Khalaf KM, Dahy A, et al. Fournier's gangrene mortality: A 17-year systematic review and meta-analysis. Int J Infect Dis. 2020;92:218-25.
Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020.
Bonkat G, Bartoletti R, Bruyère F, et al. EAU Guidelines. Urological Infections. Edn. presented at the EAU Annual Congress Amsterdam, 2020. ISBN 978-94-92671-07-3. 2020.
Mohammadi S, Tabatabaei Yazdi SM, Eshghi P, Norooznezhad AH. Coronavirus-19 Disease (COVID-19) and Decrease in Blood Donation: Experience of Iranian Blood Transfusion Organization (IBTO). Vox Sang. 2020.
- Abstract Viewed: 0 times
- Just Accepted/6285 Downloaded: 0 times