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Urological implications of SARS CoV-19
Vipin Tyagi1, Ajay Kumar Sharma, Mahendra Bhandari
1Department of Urology and Robotic Surgery, Sir Ganga Ram Hospital, New Delhi, India.
The Canadian Journal of Urology
|June 17, 2020
Summary
This study addresses the impact of COVID-19 on urology, providing guidance for patient care and surgical practices. Recommendations focus on risk stratification and telemedicine to safeguard patients and healthcare professionals during the pandemic.
Area of Science:
- Urology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic presents unique challenges to urological practice.
- Limited understanding exists regarding the virus's impact on the genitourinary system and optimal patient management.
- Urologists need modified approaches to ensure patient and staff safety.
Purpose of the Study:
- To provide evidence-based recommendations for urological practice during the COVID-19 pandemic.
- To guide urologists in risk stratification for hospital visits and surgical interventions.
- To emphasize the importance of safety precautions for healthcare professionals and patients.
Main Methods:
- Review and synthesis of international guidelines (USA, Canada, UK, Europe, India).
- Development of recommendations for urologists to establish institutional policies.
- Integration of telemedicine for patient assessment and risk stratification.
Main Results:
- COVID-19 affects the genitourinary system, necessitating careful patient evaluation.
- Remote consultation via telemedicine aids in identifying high-risk patients and those requiring hospitalization.
- Specific surgical precautions are crucial to protect surgeons, teams, and patients.
Conclusions:
- Urological surgeries during the pandemic should be limited to emergencies.
- Staggered exit strategies based on risk stratification are recommended for non-emergency procedures.
- Telemedicine is a key tool for risk stratification and managing urological care during the COVID-19 crisis.
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