Bladder Cancer at the time of COVID-19 Outbreak
ABSTRACT The COVID-19 outbreak has led to the deferral of a great number of surgeries in an attempt to reduce transmission of infection, free up hospital beds, intensive care and anaesthetists, and limit aerosol-generating procedures. Guidelines and suggestions have been provided to categorize Urological diseases into risk groups and recommendations are available on procedures that can be or cannot be deferred. We aim to summarise updates on diagnosis, treatment and follow up of bladder cancer during the COVID-19 outbreaks. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Clinical and surgical assistance in prostate cancer during the COVID-19 Pandemic: implementation of assistance protocols
Conclusions: Most of the biopsies should be delayed while AS is advised in those patients with low risk PCa. ADT allows us to defer definitive local treatment in many cases of intermediate and high risk PCa. In regard to metastatic and castration resistant PCa, combination therapies with abiraterone, apalutamide, darolutamide or enzalutamide could be considered. Chemotherapy, Radium-223 and immunotherapy are discouraged. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era
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. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Endourology and Benign Prostatic Hyperplasia in COVID-19 Pandemic
ABSTRACT The new disease COVID-19 pandemic has completely modified our lifestyle, changing our personal habits and daily activities and strongly our professional activity. Following World Health Organization (WHO) and health care authorities around the World recommendations, all elective surgeries from benign diagnose procedures must be postponed and imperatively continue working on emergent and oncological urgent pathologies. Surgical elective treatment of benign prostatic hyperplasia (BPH) is not considered as a priority. During BPH endoscopic surgeries, urine and blood are mixed with the irrigation liquid implying a ris...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

COVID-19's Impact on Italian Urology
We describe the impact of COVID-19 on Urology, how the Urological scientific community responded to the emergency and our experience in a high-volume Roman University hospital. The aim of our work is to share our experience providing suggestions for other global hospitals on how to manage the COVID-19 emergency. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Special strategies and management of urological diseases during the COVID-19 Pandemic: initial experiences from a Medical Center of China
ABSTRACT Although urological diseases are not directly related to coronavirus disease 2019 (COVID-19), urologists need to make comprehensive plans for this disease. Urological conditions such as benign prostatic hyperplasia and tumors are very common in elderly patients. This group of patients is often accompanied by underlying comorbidities or immune dysfunction. They are at higher risk of COVID-19 infection and they tend to have severe manifestations. Although fever can occur along with urological infections, it is actually one of the commonest symptoms of COVID-19; urologists must always maintain a high index of suspici...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The SARS-CoV-2 Coronavirus and the COVID-19 Outbreak
ABSTRACT The SARS-CoV-2, a newly identified β -coronavirus, is the causative agent of the third large-scale pandemic from the last two decades. The outbreak started in December 2019 in Wuhan City, Hubei province in China. The patients presented clinical symptoms of dry cough, fever, dyspnea, and bilateral lung infiltrates on imaging. By February 2020, The World Health Organization (WHO) named the disease as Coronavirus Disease 2019 (COVID-19). The Coronavirus Study Group (CSG) of the International Committee on Taxonomy of Viruses (ICTV) recognized and designated this virus as severe acute respiratory syndrome coronavirus ...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The Social, Economic and Sanitary Impact of COVID-19 Pandemic
(Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

SARS-COVID-19 transformed the world and urological practice
(Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Re: Reflections on the COVID-19 Pandemic
Conclusions Robotic Single-Port kidney transplantation using the SP® surgical platf orm is feasible in a pre-clinical model. The platform could be particularly interesting for multi-quadrant surgery such as auto-transplantation, potentially reducing the time for redocking. Further clinical studies in humans and comparison with standard surgical techniques are warranted. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Single port robot-assisted transperitoneal kidney transplant using the sp® surgical system in a pre-clinical model
Conclusions Robotic Single-Port kidney transplantation using the SP® surgical platf orm is feasible in a pre-clinical model. The platform could be particularly interesting for multi-quadrant surgery such as auto-transplantation, potentially reducing the time for redocking. Further clinical studies in humans and comparison with standard surgical techniques are warranted. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Retroperitoneoscopic approach for urolithiasis treatment
Conclusions Retroperitoneoscopic approach is a good alternative for the treatment of large impacted ureteral stones, large pielic stones and for non-functional kidney removal due to stone disease. In expert hands, it can be safely used with a good SFR. The combination with ICG or other endourological techniques is feasible, allowing higher SFR. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass
Conclusions This procedure can be performed in high risk patients with solitary large tumor thrombi. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Ambulatory second look percutaneous nephrolithotripsy with maturated nephrostomy tract
Conclusion Second-look PCNL without anesthesia and sheath after maturation of the nephrostomy tract may be an effective procedure for removing remnant stones in select patients without excessive levels of pain. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Kidney displaced by giant retroperitoneal liposarcoma in HIV patient
Conclusions Erectile function is directly proportional to the degree of exposure to smoking, and quitting smoking improves male sexual function in all age groups between 30-60 years of age regardless of pack-year and education level. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research