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Prog Urol ; 31(5): 243-244, 2021 04.
Article in French | MEDLINE | ID: covidwho-1038161
6.
Prog Urol ; 30(8-9): 439-447, 2020.
Article in French | MEDLINE | ID: covidwho-340900

ABSTRACT

INTRODUCTION: As a result of the COVID-19 pandemic in France, all non-emergency surgical activity has been cancelled since March 12, 2020. In order to anticipate the reinstatement of delayed interventions, surgical activity reduction analysis is essential. The objective of this study was to evaluate the reduction of urological surgery in adult during the COVID-19 pandemic compared to 2019. MATERIAL: The data regarding urological procedures realized in the 8 academic urological departments of Parisians centres (AP-HP) were compared over two similar periods (14-29 March 2019 and 12-27 March 2020) using the centralized surgical planning software shared by these centres. Procedure title, type of surgery and outpatient ratio were collected. The interventions were sorted into 16 major families of urological interventions. RESULTS: Overall, a 55% decrease was observed concerning urological procedures over the same period between 2019 and 2020 (995 and 444 procedures respectively). Oncology activity and emergencies decreased by 31% and 44%. The number of kidney transplantations decreased from 39 to 3 (-92%). Functional, andrological and genital surgical procedures were the most impacted among the non-oncological procedures (-85%, -81% and -71%, respectively). Approximatively, 1033 hours of surgery have been delayed during this 16-day period. CONCLUSION: Lockdown and postponement of non-urgent scheduled urological procedures decisions has led to a drastic decrease in surgical activity in AP-HP. Isolated kidney transplantation has been stopped (national statement). Urologists must anticipate for lockdown exit in order to catch-up delayed surgeries. LEVEL OF EVIDENCE: 3.


Subject(s)
Coronavirus Infections/epidemiology , Kidney Transplantation/statistics & numerical data , Pneumonia, Viral/epidemiology , Urologic Surgical Procedures/statistics & numerical data , Adult , COVID-19 , Hospitals/statistics & numerical data , Humans , Pandemics , Paris/epidemiology , Retrospective Studies , Urology/statistics & numerical data
7.
Prog Urol ; 30(5): 221-231, 2020 Apr.
Article in French | MEDLINE | ID: covidwho-25921

ABSTRACT

AIM: The French population is facing the COVID-19 pandemic and the health system have been reoriented in emergency for the care of patients with coronavirus. The management of cancers of the urinary and male genital tracts must be adapted to this context. MATERIAL AND METHOD: An expert opinion documented by a literature review was formulated by the Cancerology Committee of the French Association of Urology (CCAFU). RESULTS: The medical and surgical management of patients with any cancers of the urinary and male genital tracts must be adapted by modifying the consultation methods, by prioritizing interventions according to the intrinsic prognosis of cancers, taking into account the patient's comorbidities. The protection of urologists from COVID-19 must be considered. CONCLUSION: The CCAFU issues an expert opinion on the measure to be taken to adapt the management of cancers of the male urinary and genital tract to the context of pandemic by COVID-19.


Subject(s)
Coronavirus Infections , Disease Management , Infection Control , Pandemics , Pneumonia, Viral , Urogenital Neoplasms/surgery , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Decision Making , Epidemics , Humans , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Male , Pneumonia, Viral/epidemiology , SARS-CoV-2 , Societies, Medical , Urologists
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