Upper urinary tract obstruction during the pandemic: what should be done?

Arruda, Germano José Ferraz de; Neto, Jerônimo Ferraz de Arruda; Spessoto, Luis Cesar Fava; Arruda, José Germano Ferraz de; Junior, Fernando Nestor Facio

doi:10.1590/1806-9282.66.11.1466

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…Analyzing the quantity of outpatient appointments in patients with conditions of the kidneys and/or ureter, a slight increase was found in 2020, suggesting that these patients maintained clinical follow-up irrespective of the pandemic. Situations such as compromised renal function, fear of invasive procedures or aggravated pain due to a lack of medical follow-up may explain this finding [13,14].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Outpatient Care for Urological Conditions at a University Hospital

Spessoto¹,

Junior²,

Spessoto³

2022

Cureus

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Introduction: The 2019 coronavirus (COVID-19) rapidly spread throughout the world, with diverse negative consequences in all fields, including the continuity of treatment for patients with other diseases. The public hospital for high-complexity procedures affiliated with the São José do Rio Preto School of Medicine, São Paulo, Brazil, normally has a high annual quantity of outpatient appointments. However, the consequences of COVID-19 led to a reduction in the number of appointments, exams, and outpatient procedures. The aim of the present study was to evaluate the impact of the pandemic on outpatient care for individuals with urological conditions at a university hospital.Patients and Methods: A retrospective, descriptive, cross-sectional study was conducted involving the analysis of all outpatient appointments for individuals with urological conditions at the Urology Clinic of the São José do Rio Preto Hospital, São Paulo, Brazil, between January 2019 (pre-pandemic period) and December 2020 (after the first year of COVID-19). The variables of interest were sex, age, and affected organs of the genitourinary system.Results: Among the 4,972 outpatient appointments involving patients with urological conditions in 2019, 70.7% involved males and the largest portion of patients were in the seventh decade of life (40.02%). Among the 4,584 outpatient appointments in 2020, 69.9% involved males and the largest portion were in the seventh decade of life (47.07%). Significant differences were found in the number of outpatient appointments between 2019 and 2020 in all age groups (p < 0.0001). The most affected organs of the genitourinary system in both 2019 and 2020 were the prostate (46.07% and 56.31%, respectively), bladder (30.56% and 22.48%, respectively), and kidney/ureter (22.85% and 19.68%, respectively), with no significant differences between the two years. Conclusion:The COVID-19 pandemic exerted an impact on outpatient care for individuals with urological conditions at a university hospital, leading to a reduction in the number of appointments. No change was found with regard to the sex of the patient. In contrast, an increase was found in the number of patients 60 years of age or older during the year of the pandemic. The most affected organs of the genitourinary system were the prostate, bladder, and kidney/ureter in both years analyzed.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Outpatient Care for Urological Conditions at a University Hospital

Spessoto¹,

Junior²,

Spessoto³

2022

Cureus

View full text Add to dashboard Cite

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“…Similarly, the number of urgent surgeries diminished less in comparison to elective procedures. This may have occurred because the present study was conducted at a reference hospital for urgent and emergency care in the region, which followed the guidelines issued by urological societies for conduct during the pandemic [8,12].…”

Section: Discussionmentioning

confidence: 99%

“…With the situation imposed by the pandemic, guidelines were created to assist urologists in daily practice, including discussions on the priority of procedures i.e., which procedures can/cannot be delayed and how to perform such procedures [8][9][10][11]. An analysis of the literature reveals that the focus of studies was on changes in surgeries and the routine of urologists, with new guidelines for urological practice.…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Surgical Treatment of Patients With Urological Diseases at a University Hospital

Mariani¹,

Junior²,

Spessoto³

2022

Cureus

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Background: The coronavirus disease 2019 appeared in China and spread quickly to other regions of the country and around the world, changing the way of life of individuals and the routine of healthcare systems.Objective: The aim of the present study was to investigate the impact of the pandemic on the surgical treatment of patients with urological diseases at a university hospital.Materials and methods: A retrospective analysis of the charts of patients with urological diseases submitted to surgical treatment between January 2019 and December 2020 was conducted. The variables of interest were age, sex, and most performed surgical procedures (double-J stent placement, cystoscopy, vasectomy, removal of double-J stent, ureterolithotripsy, endoscopic bladder procedure, kidney transplant, and endoscopic prostate procedure).Results: Around 59.03% of patients with urological diseases who had surgery in 2019 were male; placement of the double-J stent accounted for 35.85% of all surgeries; 3556 surgical procedures were performed. In 2020, 57.22% of the patients were male, placement of the double-J stent accounted for 38.34% of all surgeries, and 3093 surgical procedures took place. Analyzing the types of surgery conducted in 2019 and 2020, a significant reduction occurred in the number of procedures in 2020 (p = 0.000). Conclusion:The pandemic exerted an impact on the surgical treatment of patients with urological diseases at a university hospital. No significant changes occurred with regard to the sex and age of the patients, but a significant difference was found in the number of surgical procedures performed.

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Upper urinary tract obstruction during the pandemic: what should be done?

Cited by 2 publications

References 2 publications

Impact of COVID-19 on Outpatient Care for Urological Conditions at a University Hospital

Impact of COVID-19 on Outpatient Care for Urological Conditions at a University Hospital

Impact of the COVID-19 Pandemic on Surgical Treatment of Patients With Urological Diseases at a University Hospital

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