Interim Guidance for Urodynamic Practice during COVID-19 Pandemic

Figueiredo, André Avarese de; Silva, José Ailton Fernandes; Fornari, Alexandre; Campos, Aléia Faustina; Martins, Mario Henrique Tavares; Haruta, Carolina Mayumi; Almeida, Silvio Henrique Maia de; Toledo, Luís Gustavo Morato de; Moser, Daniel; Tomé, André; Averbeck, Márcio Augusto; Gomes, Cristiano Mendes

doi:10.1590/s1677-5538.ibju.2020.0671

Cited by 4 publications

(6 citation statements)

References 14 publications

(24 reference statements)

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“…This has had an enormous effect on conventional clinical practice. Social distancing forced changes in the delivery of care in outpatient services so as to balance provision against while minimising risk of viral transmission to patients and health care professionals [2]. In these circumstances there is always a risk that what are perceived to be less pressing needs, such as the treatment of lower urinary tract symptoms (LUTS) and incontinence may be subordinated to more concerning problems such as cardiac disease with a COVID-19 diagnosis [3] or cancer treatment with adverse COVID-19 symptoms [4], as well as pre-existing respiratory diseases such as COPD in addition to COVID-19 [5].…”

Section: Introductionmentioning

confidence: 99%

An evidence-based perspective on Lower Urinary Tract Symptoms and telemedicine during the COVID-19 pandemic

2021

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The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causing the COVID-19 pandemic, has had an enormous effect on conventional clinical practice. Telemedicine has emerged as critical to the provision of healthcare services when reducing the transmission of COVID-19 among patients, families, and clinicians. It has been an essential tool for continuing care for patients with lower urinary tract symptoms (LUTS) during the COVID-19 pandemic and has been the link between socially distant patient contact. The aim of this perspective paper was to identify the strengths and limitations of technology-based care focusing on literature linked to patients with lower urinary tract symptoms (LUTS). We search PubMed and CINHAL Plus for grey literature and secondary research on LUTS and telemedicine during the COVID-19 pandemic. Publications dated between the year March 2020 and March 2021were searched. We gathered key specialist opinions in the field of LUTS from several countries around the world, including the countries that had been hit significantly with COVID-19. This perspective paper proposes that there is evidence to support the use of modern technology to facilitate continued healthcare services for patients with LUTS during the COVID-19 pandemic. Telemedicine has been recognised a crucial digital tool for diagnosis, treatment and follow-up appointments during a time of social distancing. Although there are many advantages of telemedicine, the older adult population and those economically disadvantaged with technology may not benefit from technology-based healthcare. The available literature on telemedicine during the COVID-19 pandemic has proven to be successful in the management of some patients with LUTS. It is certain that the COVID-19 pandemic has given telemedicine a significant drive for implementation now and in the immediate future. Robust data on long-term efficacy and safety of telemedicine is required to ensure there are governance protocols embedded when looking after patients with LUTS.

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Section: Introductionmentioning

confidence: 99%

An evidence-based perspective on Lower Urinary Tract Symptoms and telemedicine during the COVID-19 pandemic

2021

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“…We created a checklist to assess the feasibility of performing UDS based on national 7 and international 8 recommendations for safe practice during the COVID‐19 pandemic (Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…After authorization from the local Research Ethics Committee, we prospectively analyzed the manner in which UDS were conducted from the first week of May 2021 to the last week of July 2021 in our urodynamic center, using the latest version of Dynamed™ (Dynamed™), urodynamic equipment (Dynapack Slim™ Hardware and Urocommander™ Software), and following the recommendations for good practice endorsed by the International Society of Continence (ICS). [4][5][6] We created a checklist to assess the feasibility of performing UDS based on national 7 and international 8 recommendations for safe practice during the COVID-19 pandemic (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Safe urodynamic practices in times of COVID‐19: What can be accomplished and what can be added?

Pereira-Correia

Gomes

Barbosa

et al. 2022

Neurourology and Urodynamics

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Aim To present feedback, after applying national and international urodynamic study (UDS) recommendations for safe practice during the COVID‐19 pandemic. Methods We created a checklist to assess the feasibility of performing UDS recommendations for safe practice during the COVID‐19 pandemic from the first week of May 2021 to the last week of July 2021. Results One hundred patients were analyzed during the study period. We observed that all preventive recommendations for the steps that precede UDS could be followed in full. However, some guidelines for performing the exam were not feasible in all patients. We have successfully adopted other safety measures for all patients. Conclusions The COVID‐19 pandemic will likely persist for several more years. We believe that continuous improvement, revision, and updating of existing protocols and guidelines for the safe practice of UDS in times of COVID‐19, as we propose in this study, should be encouraged.

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“…Figueiredo et al reviewed the International Continence Society, European Association of Urology (EAU), and American Urological Association (AUA) guidelines on urodynamic practice during COVID-19 and summarised the recommendations based on government-imposed restrictions [32]:…”

Section: Impact Of Coronavirus-19 On Elective and Emergency Surgeriesmentioning

confidence: 99%

Triaging urological surgeries to cope with the coronavirus-19 pandemic

Spooner

Lawen²,

Ory³

2021

Current Opinion in Urology

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Purpose of reviewThe coronavirus-19 pandemic has led to strains on hospital resources and difficulties in safely and effectively triaging surgical procedures. In this article, we discuss the important considerations for triaging urologic surgeries during a global pandemic, mitigating factors on how to perform surgeries safely, and general guidelines for specific surgeries. Recent findingsMany urological procedures have been cut back due to the pandemic, with benign disease states being most affected whereas oncology cases affected least. Current recommendations in urology triage lifethreatening conditions, or conditions that may lead to life-threatening ailments as a priority for treatment during the pandemic. Additionally, published recommendations have been put forth recommending all surgical patients be screened for COVID-19 to protect staff, prevent disease dissemination, and to educate patients on worse outcomes that can occur if infected with COVID-19 in the postoperative period. SummaryCOVID-19 has caused worldwide shortages of healthcare resources and increased the need to ethically triage resources to adequately treat the urologic community. These resource limitations have led to increased wait times and cancellations of many urology surgeries that are considered 'elective'.

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Interim Guidance for Urodynamic Practice during COVID-19 Pandemic

Cited by 4 publications

References 14 publications

An evidence-based perspective on Lower Urinary Tract Symptoms and telemedicine during the COVID-19 pandemic

An evidence-based perspective on Lower Urinary Tract Symptoms and telemedicine during the COVID-19 pandemic

Safe urodynamic practices in times of COVID‐19: What can be accomplished and what can be added?

Triaging urological surgeries to cope with the coronavirus-19 pandemic

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