Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era.
Int Braz J Urol
; 46(suppl.1): 39-49, 2020 07.
Article
in English
| MEDLINE | ID: covidwho-611611
ABSTRACT
PURPOSE:
To provide recommendations on the endourological management of lithiasis in the scenario of the COVID-19 pandemic. MATERIALS ANDMETHODS:
A non-systematic review in PubMed and the grey literature, as well as recommendations by a panel of stakeholders was made, regarding management, surgical considerations and follow-up of patients affected by lithiasis in the COVID-19 era.RESULTS:
Under the current outbreak and COVID-19 pandemic scenario, patients affected by lithiasis should be prioritized into low, intermediate and high risk categories, to decide their delay and save resources, healthcare personnel, beds and ventilators. However, patients with potentially serious septic complications need emergency interventions. The possibility of performing or restarting elective activity depends on local conditions, the availability of beds and ventilators, and the implementation of screening protocols in the context of the COVID-19 pandemic. Delaying lithiasis surgery and increasing waiting lists will have consequences and will require considerable additional effort. Teleconsultation may be useful in guiding these patients, reducing visits and unnecessary exposure.CONCLUSIONS:
categorization and prioritization of patients affected by lithiasis is crucial for management, surgical selection and follow-up. Protocols, measures and additional efforts should be carried out in the current situation of the COVID-19 pandemic.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Urology
/
Coronavirus Infections
/
Lithiasis
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Humans
Language:
English
Journal:
Int Braz J Urol
Journal subject:
Urology
Year:
2020
Document Type:
Article
Affiliation country:
S1677-5538.IBJU.2020.S105
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