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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.
Insights
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.
Introduction:
The novel coronavirus disease 2019 (COVID-19), pandemic has afflicted > 3.3 million people around the world since December 2019. Though, more than 1000 publications have appeared in scientific journals addressing a plethora of questions, there is a considerable hiatus in understanding of the behavior and natural history of the virus and its impact on urology. Also, a modified approach is the need of hour in taking care of patients as urologists should safeguard their teams, families, and patients.
Material And Methods:
The authors have used guidelines from USA, Canada, UK, Europe and India for making recommendations to help urologist define their own policies that may have to be fine-tuned on the basis of continued and evolving challenges they would encounter and the local resources at their disposal.
Results:
COVID-19 do effect genitourinary system from kidney to testis. The authors provide scientific basis to urologists to help identify patients by remote consultation who are likely to be harmed by coming to the hospital, and not to miss those who need hospitalization for diagnostic or therapeutic interventions. There is uncompromised need of specific precautions during surgery to safe guard the surgeon and his team along with the patient.
Conclusions:
Urological operations during COVID-19 pandemic should be limited to emergency cases during the acute phase with an exit strategy planned in a staggered manner, based on the scientific risk stratification. Telemedicine (e-clinics or virtual clinics) would help achieve the goal of risk stratification.
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