The Impact of COVID-19 Outbreak on Uro-oncological Practice Across Europe: Which Burden of Activity Are We Facing Ahead? (original) (raw)

A Urology Department's Experience at the Epicenter of the COVID-19 Pandemic

Urology, 2020

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Urology practice during the COVID-19 pandemic

Minerva Urologica e Nefrologica, 2020

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ANALYSIS OF UROGYNECOLOGICAL AND SEXUAL CHANGES ASSOCIATED WITH COVID-19(Atena Editora)

ANALYSIS OF UROGYNECOLOGICAL AND SEXUAL CHANGES ASSOCIATED WITH COVID-19(Atena Editora), 2023

Although SARS-CoV-2 is responsible for causing the Coronavirus disease, and mainly affects the respiratory tract, it has been associated with other series of extrapulmonary manifestations, including pelvic dysfunctions. Goal: To analyze urogynecological and sexual sequelae in women and men affected by the Coronavirus and establish a relationship between the symptoms and the characteristics of the population with the highest prevalence. Method: A cross-sectional study was carried out, with a convenience sample, 191 participants, 135 female and 56 male. After free consent, we sent the link to the Google Forms questionnaire for the investigation of post-COVID-19 urogynecological and sexual symptoms. Data were statistically analyzed using non-parametric tests, such as Friedman, Wilcoxon, Equality of Two Proportions, Chi-Square, Spearman correlation and Confidence Interval for the mean, considering a significance level of p≤0.05. Result: In the urinary system, an increase in Stress Urinary Incontinence (SUI) (p=0.06), nocturia (p<0.05) and the feeling of urinary urgency (p<0.05) was observed in women. In men, only increased urinary frequency without statistical significance (p=0.061). Considering sexuality, sexual performance and lubrication scores were reported in both as a sign of reduction, but only women showed statistical significance for scores and lubrication respectively (p<0.001, p<0.056). Conclusion: We concluded that the COVID-19 infection increased the incidence of urinary disorders more in women than in men, with SUI, urinary urgency/hyperactivity and nocturia being more prevalent. Considering sexuality, both groups were affected and women were more affected.

The Impact of COVID-19 Disease on Urology Practice

The Surgery Journal

The diagnosis and timely treatment of cancer patients should not be compromised during an infectious disease pandemic. The pandemic of coronavirus disease 2019 (COVID-19) has serious implications on urology practice and raises particular questions for urologists about the management of different conditions. It was recommended to cancel most of the elective urological surgeries. Urological cancers surgeries that should be prioritized are radical cystectomy for selective tumors, orchiectomy for suspected testicular tumors, nephrectomy for c T3 + , nephroureterectomy for high-grade disease, and radical adrenalectomy for tumors >6 cm or adrenal carcinoma. Most prostatectomies can be delayed without compromising the survival rate of patients. Urological emergencies should be treated adequately even during this pandemic. There is a potential risk of coronavirus diffusion during minimally invasive procedures performed. It is crucial to use specific precautions when urologists performed ...

The Global Impact of the Covid-19 Pandemic on Urological Practice

Journal of Surgery, 2020

Objective: To examine the impact and effects of the COVID-19 pandemic on urology practice around the world through examination of published literature and personal experiences. Subjects and methods: A literature search of EMBASE and MEDLINE was performed with search terms including "urology", "coronavirus", "covid-19", "impact" and "outcome". All articles were reviewed in full and hard search of paper references was performed. Online resources and publications from international and national professional bodies were reviewed in full. Results: The spread of coronavirus has caused significant changes to the daily working of both qualified and training urologists the world over. Benign urology treatment was first to be deferred when services were limited. Urology cancer management has also seen drastic changes to standards of care. Urology patients as a result have been seriously impacted, with detrimental biopsychosocial effects as a result of treatment delays. The ripple effect of the pandemic on both Urology healthcare professionals and healthcare settings are unforetold. Conclusion: Urology as a profession has had to overcome many hurdles in treating patients amidst the pandemic, and continues to encounter new challenges. The consequences of service limitation and restrictions on working has inescapably changed urology practice hereafter. The repercussions of the pandemic will be felt permanently as a new normal is introduced.

Impact of COVID-19 on Urology Practice: A Global Perspective and Snapshot Analysis

Journal of Clinical Medicine

The global impact of the 2019 novel coronavirus disease (COVID-19) pandemic on urology practice remains unknown. Self-selected urologists worldwide completed an online survey by the Société Internationale d’Urologie (SIU). A total of 2494 urologists from 76 countries responded, including 1161 (46.6%) urologists in an academic setting, 719 (28.8%) in a private practice, and 614 (24.6%) in the public sector. The largest proportion (1074 (43.1%)) were from Europe, with the remainder from East/Southeast Asia (441 (17.7%)), West/Southwest Asia (386 (15.5%)), Africa (209 (8.4%)), South America (198 (7.9%)), and North America (186 (7.5%)). An analysis of differences in responses was carried out by region and practice setting. The results reveal significant restrictions in outpatient consultation and non-emergency surgery, with nonspecific efforts towards additional precautions for preventing the spread of COVID-19 during emergency surgery. These restrictions were less notable in East/South...

The impact of COVID-19 in medical practice. A review focused on Urology

International braz j urol, 2021

COVID-19 pandemic is a rapidly spreading virus that is changing the World and the way doctors are practicing medicine. The huge number of patients searching for medical care and needing intensive care beds led the health care system to a burnout status especially in places where the care system was already overloaded. In this setting, and also due to the absence of a specific treatment for the disease, health authorities had to opt for recommending or imposing social distancing to relieve the health system and reduce deaths. All other medical specialties nondirectly related to the treatment of COVID-19 had to interrupt or strongly reduce their activities in order to give room to seriously ill patients, since no one knows so far the real extent of the virus damage on human body and the consequences of doing non deferrable procedures in this pandemic era. Despite not been a urological disease, the urologist needs to be updated on how to deal with these patients and how to take care of himself and of the medical team he works with. The aim of this article is to review briefly some practical aspects of COVID-19 and its implications in the urological practice in our country.

Urology Amidst the War on COVID-19

2021

Objectives We sought to review the impact of the COVID-19 pandemic on the practice of urology internationally, with particular focus on the Australian response. Methods A literature search of PubMed was conducted using search terms “urology,” “coronavirus,” “COVID-19,” and “surgery.” This generated 163 articles. The abstracts were reviewed for relevance, and 31 articles were selected, reviewed in depth, and information synthesised along with relevant government, surgical college, and urological society policy documents. Results Extensive health care changes have been implemented worldwide to curb infection rates. Elective surgery cancellations have been widely mandated to curb infection rates with mixed success. Whilst demand on hospital resources was reduced by up to 80%, the estimated cost to clear the surgical backlog in the UK has reached £100 million. Strict perioperative precautions have also been employed with mandatory personal protective equipment for all surgical staff and...

COVID-19's Impact on Italian Urology

International Braz J Urol, 2020

The COVID-19 pandemic has impacted our lives, our habits and our healthcare system. Italy is one of the countries affected first and more aggressively from the outbreak. Our rapidity has been guide for other healthcare systems from around the World. We describe the impact of COVID-19 on Urology, how the Urological scientific community responded to the emergency and our experience in a high-volume Roman University hospital. The aim of our work is to share our experience providing suggestions for other global hospitals on how to manage the COVID-19 emergency.