The Impact of COVID-19 Disease on Urology Practice

被引:3
作者
Moussa, Mohamad [1 ,2 ]
Abou Chakra, Mohamed [3 ]
Papatsoris, Athanasios G. [4 ]
Dellis, Athanasios [5 ]
机构
[1] Al Zahraa Hosp, Dept Urol, Beirut, Lebanon
[2] Lebanese Univ, Beirut, Lebanon
[3] Lebanese Univ, Dept Urol, Beirut 1108, Lebanon
[4] Natl & Kapodistrian Univ Athens, Sismanoglio Hosp, Sch Med, Dept Urol 2, Athens, Greece
[5] Arete Hosp, Dept Urol Gen Surg, Athens, Greece
关键词
COVID-19; urology practice; oncology; pandemic; endourology; kidney transplant; INVASIVE BLADDER-CANCER; MANAGEMENT; RECOMMENDATIONS; OUTBREAK; EXPERIENCE; INFECTION; THERAPY; CARE;
D O I
10.1055/s-0041-1725155
中图分类号
R61 [外科手术学];
学科分类号
摘要
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 those type of surgeries. It was also recommended to suspend the kidney transplantation program during the COVID-19 pandemic except for specific cases. In this review, we discussed the triage of urological surgeries, the risk of minimally invasive urological procedure, the kidney transplantation challenges, the systemic therapies, intravesical instillation of Bacillus Calmette-Guerin (BCG), endourology, teleconferencing, and telemedicine application in urology during the COVID-19 pandemic.
引用
收藏
页码:e83 / e91
页数:9
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