The 3dBD showed good feasibility, reliability and validity to be used in the assessment of LUTS in women.

Aim To validate an electronic 3‐day bladder diary (BD) as an easy‐to‐use app for smart‐phone (eDM3d). Methods Descriptive and cross‐sectional prospective study. One hundred and thirty‐six patients with overactive bladder syndrome (OABs) or nocturia who had a smart‐phone and attended the urology clinics of a tertiary hospital from June to November 2017 were included. Patients filled the eDM3d (test) and the Spanish validated paper BD (DM3d) and questionnaires ICIQ‐UISF and BASQ during the first week. Two weeks later, they repeated the eDM3d (retest). We assessed feasibility of the eDM3d (percentage of variables completed), test‐retest reliability (qualitative variables: McNemar test; quantitative variables: ICC), paper‐app correlation (qualitative variables: Kappa index; quantitative variables: ICC) and convergent validity (correlation between eDM3d and questionnaires, Spearman's rank test). Patients answered a question about satisfaction: “If you had to repeat a BD again, would you choose paper or the app version?” Results One hundred and twenty‐three (90.4%) participants completed all the variables of the first eDM3d. There were no significant differences in the proportion of patients classified as positive for each symptom between test and retest. ICC ranged from 0.73 to 0.94 for all variables (P < 0.001) in the test‐retest assessment. Paper‐app correlation was good to excellent for all variables (ICC 0.76‐0.95, P < 0.001; Kappa index 0.56‐0.84, P < 0.001). Correlation between the eDM3d and the questionnaires ranged from 0.23 to 0.6 (P < 0.01). 120 (88.2%) patients would choose the eDM3d if they had to repeat a BD. Conclusion The eDM3d presents suitable feasibility, reliability, and validity to assess patients with OABs or nocturia who have a smart‐phone.

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The COVID-19 pandemic caused by the SARS-CoV-2 virus has caused tens of thousands of deaths in Spain and has managed to breakdown the healthcare system hospitals in the Community of Madrid, largely due to its tendency to cause severe pneumonia, requiring ventilatory support. This fact has caused our center to collapse, with 130% of its beds occupied by COVID-19 patients, thus causing the absolute cessation of activity of the urology service, the practical disappearance of resident training programs, and the incorporation of a good part of the urology staff into the group of medical personnel attending these patients. In order to recover from this extraordinary level of suspended activity, we will be obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. Technology tools such as online training courses or surgical simulators may be convenient for the necessary reestablishment of resident education.

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