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Management of Female and Functional Urology Patients During the COVID Pandemic.
López-Fando, Luis; Bueno, Paulina; Carracedo, David; Averbeck, Marcio; Castro-Díaz, David M; Chartier-Kastler, Emmanuel; Cruz, Francisco; Dmochowski, Roger; Finazzi-Agrò, Enrico; Hajebrahimi, Sakineh; Heesakkers, John; Kasyan, George; Tarcan, Tufan; Peyronnet, Benoit; Plata, Mauricio; Padilla-Fernández, Bárbara; Van Der Aa, Frank; Arlandis, Salvador; Hashim, Hashim.
  • López-Fando L; Bladder Section, Urology Department, Hospital Ramón y Cajal, Madrid, Spain.
  • Bueno P; Bristol Urological Institute, Southmead Hospital, Bristol, UK.
  • Carracedo D; Functional, Female and Urodynamic Section, Urology Department, Hospital Rey Juan Carlos, Madrid, Spain.
  • Averbeck M; Videourodynamics Unit, Neuro-Urology Department, Moinhos de Vento Hospital, Porto Alegre, Brazil.
  • Castro-Díaz DM; Urology Department, Complejo Hospitalario Universitario de Canarias, Tenerife, Spain; Department of Surgery, Universidad de La Laguna, Tenerife, Spain.
  • Chartier-Kastler E; Medical School, Sorbonne Université, Academic Hospital Pitié-Salpêtrière, Paris, France.
  • Cruz F; Hospital São João and Faculty of Medicine of Porto, Porto, Portugal.
  • Dmochowski R; Vanderbilt University Medical Center, Nashville, TN, USA.
  • Finazzi-Agrò E; Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy.
  • Hajebrahimi S; Research Center for Evidence Based Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Heesakkers J; Department of Urology, Radboudumc, Nijmegen, The Netherlands.
  • Kasyan G; Urology Department, Moscow State University of Medicine and Dentistry, Spasokukotsky Moscow City Hospital, Moscow, Russia.
  • Tarcan T; Department of Urology, Marmara University School of Medicine and Department of Urology, Koç University School of Medicine, Istanbul, Turkey.
  • Peyronnet B; Department of Urology, University of Rennes, Rennes, France.
  • Plata M; Department of Urology, Fundación Santa Fe de Bogotá, Universidad de los Andes School of Medicine, Bogotá, Colombia.
  • Padilla-Fernández B; Urology Department, Complejo Hospitalario Universitario de Canarias, Tenerife, Spain; Department of Surgery, Universidad de La Laguna, Tenerife, Spain.
  • Van Der Aa F; Urology Department, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
  • Arlandis S; Functional and Reconstructive Urology Section, Urology Department, La Fe University and Polytechnic Hospital, Valencia, Spain. Electronic address: arlandis_sal@gva.es.
  • Hashim H; Bristol Urological Institute, Southmead Hospital, Bristol, UK.
Eur Urol Focus ; 6(5): 1049-1057, 2020 Sep 15.
Article in English | MEDLINE | ID: covidwho-597672
Semantic information from SemMedBD (by NLM)
1. Neoplasms PROCESS_OF Patients
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Neoplasms
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Patients
2. Neoplasms PROCESS_OF Patients
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Neoplasms
Predicate
PROCESS_OF
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Patients
ABSTRACT
CONTEXT Coronavirus disease 19 (COVID-19) has changed standard urology practice around the world. The situation is affecting not only uro-oncological patients but also patients with benign and disabling conditions who are suffering delays in medical attention that impact their quality of life.

OBJECTIVE:

To propose, based on expert advice and current evidence where available, a strategy to reorganize female and functional urological (FFU) activity (diagnosis and treatment). EVIDENCE ACQUISITION The present document is based on a narrative review of the limited data available in the urological literature on SARS-Cov-2 and the experience of FFU experts from several countries around the world. EVIDENCE

SYNTHESIS:

In all the treatment schemes proposed in the literature on the COVID-19 pandemic, FFU surgery is not adequately covered and usually grouped into the category that is not urgent or can be delayed, but in a sustained pandemic scenario there are cases that cannot be delayed that should be considered for surgery as a priority. The aim of this document is to provide a detailed management plan for noninvasive and invasive FFU consultations, investigations, and operations. A classification of FFU surgical activity by indication and urgency is proposed, as well as recommendations adopted from the literature for good surgical practice and by surgical approach in FFU in the COVID-19 era.

CONCLUSIONS:

Functional, benign, and pelvic floor conditions have often been considered suitable for delay in challenging times. The long-term implications of this reduction in functional urology clinical activity are currently unknown. This document will help functional urology departments to reorganize their activity to best serve their patients. PATIENT

SUMMARY:

Many patients will suffer delays in urology treatment because of COVID-19, with consequent impairment of their physical and psychological health and deterioration of their quality of life. Efforts should be made to minimize the burden for this patient group, without endangering patients and health care workers.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Urologic Diseases / Urology / Telemedicine / Coronavirus Infections / Pandemics / Personal Protective Equipment Type of study: Diagnostic study / Observational study / Prognostic study / Reviews Topics: Long Covid Limits: Female / Humans / Male Language: English Journal: Eur Urol Focus Year: 2020 Document Type: Article Affiliation country: J.euf.2020.05.023

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Urologic Diseases / Urology / Telemedicine / Coronavirus Infections / Pandemics / Personal Protective Equipment Type of study: Diagnostic study / Observational study / Prognostic study / Reviews Topics: Long Covid Limits: Female / Humans / Male Language: English Journal: Eur Urol Focus Year: 2020 Document Type: Article Affiliation country: J.euf.2020.05.023