Socarrás MER, Esperto F, Bapstistussi MD, Barufaldi F, Vital MS, Papalia R, Salerno A, Cataldo R, Autrán-Gómez AM, Scarpa RM. Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era.
Int Braz J Urol 2020;
46:39-49. [PMID:
32568495 PMCID:
PMC7719981 DOI:
10.1590/s1677-5538.ibju.2020.s105]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 05/10/2020] [Indexed: 12/28/2022] Open
Abstract
PURPOSE
To provide recommendations on the endourological management of lithiasis in the scenario of the COVID-19 pandemic.
MATERIALS AND METHODS
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.
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