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Continuing care for patients affected by urologic chronic pelvic pain in the era of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic.
Giannantoni, Antonella; Rubilotta, Emanuele; Balzarro, Matteo; Gubbiotti, Marilena.
  • Giannantoni A; Functional and Surgical Urology Unit, Department of Surgical and Medical Sciences and Neurosciences, University of Siena, Siena, Italy.
  • Rubilotta E; Department of Urology, A.O.U.I. Verona University, Verona, Italy.
  • Balzarro M; Department of Urology, A.O.U.I. Verona University, Verona, Italy.
  • Gubbiotti M; Pelvic Unit, Department of Urology, San Donato Hospital, Arezzo, Italy.
Neurourol Urodyn ; 40(1): 397-403, 2021 01.
Article in English | MEDLINE | ID: covidwho-1023302
ABSTRACT

AIMS:

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic poses a challenge to treatment of patients with urologic chronic pelvic pain (UCPP), who are at risk to be postponed in the priority of care. We investigated pain, catastrophizing, and psychological status in UCPP patients during SARS-CoV-2 by means of Skype telephone calls.

METHODS:

A total of 28 UCPP patients underwent Skype video consultations. Pain intensity was assessed with Pain Numerical Rating Scale (PNRS). Pain Catastrophizing Scale (PCS) and Depression Anxiety Stress Scales (DASS-21) were used to assess catastrophizing and psychological status.

RESULTS:

During SARS-CoV-2, UCPP patients showed higher intensity of pain than before (mean ± SD PNRS score 7.25 ± 0.9 vs. 5.4 ± 0.7; p < .0001), with pain exacerbation in 75%; they showed higher PCS and DASS-21 scores as compared to before the pandemic (mean ± SD PCS total score 32.4 ± 1.2 vs. 23.7 ± 3.5; mean ± SD DASS-21 total score 42.03 ± 4.5 vs. 34.4 ± 2.2; p < .001 and p < .001, respectively).

CONCLUSION:

During SARS-CoV-2 pandemic UCPP patients presented with high intensity of pain, marked catastrophizing thoughts and severe alteration of the psychological status. These observations impose the need not to postpone assessment and treatment of these patients during the pandemic. Remote visits with video telephone calls are a simple way of continuing care in UCPP patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Telemedicine / Pelvic Pain / Depression / Catastrophization / Chronic Pain Type of study: Observational study / Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Neurourol Urodyn Year: 2021 Document Type: Article Affiliation country: Nau.24574

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Telemedicine / Pelvic Pain / Depression / Catastrophization / Chronic Pain Type of study: Observational study / Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Neurourol Urodyn Year: 2021 Document Type: Article Affiliation country: Nau.24574