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The Influence of SARS-CoV-2 on Minimally Invasive Therapeutic Approach for Benign Prostatic Hyperplasia
S Balacescu1, R Popescu1,2, D Georgescu1,2
1Department of Urology, "Sf. Ioan" Clinical Hospital of Emergency, Bucharest, Romania.
Maedica
|February 23, 2023
Summary
The COVID-19 pandemic impacted benign prostatic hyperplasia (BPH) patient management, with most cases delaying chronic BPH treatment until viral remission. SARS-CoV-2 did not clearly influence BPH patient outcomes.
Area of Science:
- Urology
- Infectious Diseases
- Public Health
Background:
- This study investigated the management of benign prostatic hyperplasia (BPH) in patients with concurrent SARS-CoV-2 infection.
- It analyzed treatment modalities and outcomes for 81 BPH patients admitted to a Romanian urology clinic between January 2021 and January 2022.
Discussion:
- The COVID-19 pandemic necessitated adjustments in BPH patient care, often leading to delayed interventions for chronic conditions.
- SARS-CoV-2 infection did not appear to significantly alter the clinical course of BPH.
- Management strategies focused on addressing acute symptoms like hematuria and urinary retention while deferring elective procedures.
Key Insights:
- 13 patients required emergency endoscopic procedures for persistent hematuria unresponsive to conservative management.
- 17 patients developed acute urinary retention during hospitalization, necessitating catheterization.
- 51 patients had pre-existing chronic urinary retention, and 13 initiated medical management during their hospital stay.
Outlook:
- Future research should explore long-term outcomes of delayed BPH treatments in post-COVID-19 patients.
- Developing adaptive management protocols for urological conditions during pandemics is crucial.
- Understanding the interplay between viral infections and chronic urological diseases remains an important area for investigation.
