Analysis of patients undergoing urological intervention amid the COVID-19: experience from the pandemic hospital
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UROLOGY - ORIGINAL PAPER
Analysis of patients undergoing urological intervention amid the COVID‑19: experience from the pandemic hospital Mustafa Soytas1 · Mustafa Yucel Boz1 · Vahit Guzelburc1 · Gokhan Calik1 · Mehmet Cagri Kactan1 · Rahim Horuz1 · Ziya Akbulut1 · Selami Albayrak1 Received: 26 May 2020 / Accepted: 20 June 2020 © Springer Nature B.V. 2020
Abstract Purpose It is reported that surgical procedures performed during the COVID-19 pandemic are accompanied by high complications and risks. In this study, the urological interventions applied with appropriate infrastructure and protocols during the pandemic in the pandemic hospital that is carrying out the COVID-19 struggle are analyzed. Methods Urological interventions were reviewed in the 5-week period between March 11 and April 16. The distribution of outpatient and interventional procedures was determined by weeks concurrently along with the COVID-19 patient workload, and data in the country, subgroups were further analyzed. Patients intervened were divided into four groups as Emergency, High, Intermediate, and Low Priority cases according to the EAU recommendations. The COVID-19-related findings were recorded; staff and patient effects were reported. Results Of the 160 interventions, 65 were minimally invasive or open surgical intervention, 95 were non-surgical outpatient intervention, and the outpatient admission was 777. According to the priority level, 33 cases had emergency and high priority, 32 intermediate and low priority. COVID-19 quarantine and follow-up were performed at least 1 week in 22 (33.8%) operated patients at the last week, 43 (66.2%) patients who were operated in the previous 4 weeks followed up at least 2 weeks. No postoperative complications were encountered in any patient due to COVID-19 during the postoperative period. Conclusion In the COVID-19 pandemic, precautions, isolation, and algorithms are required to avoid disruption in the intervention and follow-up of urology patients; priority urological interventions should not be disrupted in the presence of necessary experience and infrastructure. Keywords Coronavirus · COVID-19 · Elective case · Emergency case · Priority case · SARS-CoV-2 · Urology * Mustafa Soytas [email protected] Mustafa Yucel Boz [email protected] Vahit Guzelburc [email protected] Gokhan Calik [email protected] Mehmet Cagri Kactan [email protected] Rahim Horuz [email protected] Ziya Akbulut [email protected] Selami Albayrak [email protected] 1
Department of Urology, Faculty of Medicine, Istanbul Medipol University, 34200 Istanbul, Turkey
Introduction COVID-19 (SARS-CoV-2) was recorded as the third coronavirus outbreak of the twenty-first century after SARS-CoV-1 and MERS [1]. The World Health Organization (WHO) accepted coronavirus disease 2019 (COVID-19) as a global pandemic and declared as an emergency on March 11, 2020 [2]. The first case was reported in Turkey on the same date by the Ministry of National Health [3]. Even though various prediction m
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