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Where do urologists stand in the era of novel coronavirus-2019 disease
Thomas Hughes1, Hui Ching Ho1, Shahrokh F Shariat2,3,4,5,6
1University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Insights
The COVID-19 pandemic disrupted urology services, leading to postponed treatments and altered surgical practices. Strategies are needed to prioritize urgent urological care and adapt training methods.
Area of Science:
- Urology
- Healthcare Management
- Infectious Diseases
Background:
- The COVID-19 pandemic has significantly impacted global healthcare systems, including specialized services like urology.
- Understanding the specific effects on urologists and patient care is crucial for managing resources and prioritizing treatments.
Purpose of the Study:
- To review the impact of the COVID-19 pandemic on urology services worldwide.
- To evaluate strategies for minimizing disruptions to urological care and training.
Main Methods:
- Literature review of the effects of the COVID-19 pandemic on urological services.
- Analysis of changes in treatment, training, patient communication, and surgical prioritization.
Main Results:
- Urology services faced postponed treatments and reallocated staff due to COVID-19 resource demands.
- Virtual communication methods and modified surgical prioritization (emergency, high, low, non-urgent) were implemented.
- Training was postponed, with a shift towards virtual and simulation-based methods for the future.
Conclusions:
- Proactive strategies can mitigate the impact of pandemics on urological services, ensuring prioritization of urgent patient needs.
- Future urological training may incorporate simulation, e-learning, and webinars for continued education and collaboration.
- Adapting to the challenges posed by COVID-19 is essential for the resilience of urology services.
Purpose Of Review:
The novel coronavirus-2019 disease (COVID-19) pandemic has had devastating consequences on healthcare systems globally. The effect this has on urologists and the patients they care for is not fully understood and presents the challenge of prioritizing the most urgent cases. We aim to review the impact on urology services and evaluate strategies to minimize disruption.
Recent Findings:
Various healthcare systems have been forced to postpone treatment for many urological conditions as resources are dedicated to the treatment of COVID-19. Training has been postponed as staff are reallocated to areas of need. Face-to-face contact is largely minimized and innovative, virtual communication methods are used in the outpatient setting and multidisciplinary team meetings. Surgical practice is changing because of the risks posed by COVID-19 and procedures can be prioritized in a nonurgent, low priority, high priority or emergency category.
Summary:
Although the COVID-19 pandemic will inevitably affect urological services, steps can be taken to mitigate the impact and prioritize the patients most in need of urgent care. Similarly, in future; simulation, e-learning and webinars will allow interaction to share, discuss and debate focused training and education.
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