The Covid-19 pandemic seen from the frontline
ABSTRACT COVID-19 disease caused by infection with the SARS-CoV-2 virus produces respiratory symptoms, predominantly of the upper airways, which can progress to pneumonia after 7 days with persistent fever, cough and dyspnea, and even develop a syndrome of acute respiratory distress (ARDS), multi-organ failure and death. Since COVID-19 disease was declared by the WHO there has been a redistribution of the healthcare system for these types of patients, especially in the front line, which is, in primary care, emergencies and in intensive care units (ICU). In primary care, the fundamental role is the diagnosis of the suspecte...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Implementation and strategies to ensure adequate coordination within a Urology Department during the COVID-19 pandemic
Conclusion: In the actual Covid-19 scenario, while the number of positive patients globally keep on rising, it is fundamental to embrace a new way to deliver healthcare and to overcome challenges of physical distancing and self-isolation. The use of appropriate PPE, definite pathways to access the hospital, the implementation of telemedicine protocols can represent effective strategies to carry on delivering healthcare. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Impact of COVID-19 Pandemic on Ibero-American Urology Residents: Perspective of American Confederation of Urology (CAU)
Conclusion: This unprecedented reality is negatively impacting the heterogeneous residency programs that American Confederation of Urology (CAU) nucleates. It is necessary to continue with technological innovation and allocate time and resources to easily generate accessible tools to favor the training of future urologists. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey
Conclusions: At the time of writing (May 13th 2020) our data represents a snapshot of COVID-19 outbreak in Latin American urological practices. Our findings have practical implications and should be contextualized considering many factors related to patients and urological care: The variability of health care scenarios, institutional capacity, heterogeneity and burden of urologic disease, impact of surgical indications and decision making when prioritizing and scheduling surgeries in times of COVID-19 pandemic. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Early experience with COVID-19 in kidney transplantation recipients: update and review
ABSTRACT Introduction: little is known on the risk factors, clinical presentation, therapeutic protocols, and outcomes of kidney transplantation recipients (KTRs) who become infected by SARS-CoV-2. Purpose: to provide an updated view regarding the early experience obtained from the management of KTRs with COVID-19. Materials and Methods: A narrative review was conducted using PubMed database to identify relevant articles written in English/Spanish, and published through May 15, 2020. Search terms included: “ coronavirus ” , “ severe acute respiratory syndrome coronavirus 2 ” , “ SARS-CoV-2 ” , “ COVID-19 ...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
The effect of the Covid-19 Pandemic on pediatric urology
ABSTRACT Medical and surgical priorities have changed dramatically at the time of this pandemic. Scientific societies around the World have provided rapid guidance, underpinned by the best knowledge available, on the adaptation of their guidelines recommendations to the current situation. There are very limited scientific evidence especially in our subspecialty of pediatric urology. We carry out a review of the little scientific evidence based mainly on the few publications available to date and on the recommendations of the main scientific societies regarding which patients should undergo surgery, when surgery should be p...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Treatment and research lines for the patient with COVID-19. What do we have and where are we going?
ABSTRACT Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) represents the most significant global public health crisis of this generation. From the beginning of the pandemic, several publications and on-line resources about different treatment lines have been done, and development effort in response to the COVID-19 pandemic to investigate potential therapies is unprecedented. Unfortunately, until now, there is not enough evidence to recommend any specific anti-COVID19 treatment. Randomized clinical trials and high-quality evidence, even in the middle of a pandemic, a...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Social media influence in the COVID-19 Pandemic
ABSTRACT Never before in human history has it been possible to communicate so quickly during a pandemic, social media platforms have been a key piece for the dissemination of information; however, there are multiple advantages and disadvantages that must be considered. Responsible use of these tools can help quickly disseminate important new information, relevant new scientific findings, share diagnostic, treatment, and followup protocols, as well as compare different approaches globally, removing geographic boundaries for the first time in history. In order to use these tools in a responsible and useful way, it is recomme...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
COVID-19: Measures to prevent hospital contagion. What do urologists need to know?
ABSTRACT A new outbreak of respiratory infection caused by the novel coronavirus in late December 2019 in China caused standards of medical care to change not only for related areas but for the entire healthcare system, and when the WHO declared COVID-19 a pandemic new strategies of patient care had to be defined initially to optimize resources to confront the pandemic and then to protect healthcare personnel. As urologists, we must be involved in these new standards, since without an effective vaccine the risk of contagion is high; thus, the purpose of this review is to have orientation on the measures urologists should t...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Impact of the COVID-19 pandemic on the sexual behavior of the population. The vision of the east and the west
ABSTRACT The COVID-19 pandemic has radically changed the way of life around the World. The state of alarm has forced the population to stay at home, radically changing both interpersonal and partner relationships; work at home, social distancing, the continued presence of children at home, fear of infection and not being able to physically meet with others have changed most people's sexual habits. We conducted a review by exploring the impact of the COVID-19 pandemic on sexual behavior in the population from three different countries: Iran, Italy and Spain from each country's perspective. The impact of the coronavirus will...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Summary and considerations in genitourinary cancer patient care during the COVID-19 Pandemic
Conclusions: During the COVID-19 pandemic urological cancer care has been severely impaired. For proper patient management, multidisciplinary approach is encouraged tailoring therapy according to COVID-19 regional behavior and local institutional resources. Patients with high-risk malignancies should be prioritized. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Impact of COVID-19 in Female Urology
ABSTRACT This review discusses the impact of COVID-19 in Female Urology, revises the most important disorders in this field and how their diagnosis and treatment may be modified due to the current pandemic. The text also discusses new options such as telemedicine and what clinical situations within Female Urology should be of utmost importance for the urologist to be careful about. We also discuss how surgeries are being postponed are resumed according to the local scenario. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Therapeutic and Surgical Indications for Patients with Penile Cancer in the COVID-19 era
Conclusions: In the COVID 19 era, initial evaluation of the patient is mandatory. Histological diagnosis with local staging is necessary before offering any therapeutic option. In case of superficial non-invasive disease, topical treatment is effective in absence of lymph node involvement. In selected patients, radiotherapy is an organpreserving approach with good results. Non-deferrable surgical treatment must be performed by an experienced surgeon and as an outpatient procedure when possible. When indicated, iLND should not be delayed since it is decisive for patient survival. Follow-up should be by telemonitoring. (Sour...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Priorities in testis cancer care during Covid-19 Pandemic
Conclusions: Most stages of testis cancer require urgent care; however, all recommendations must be adapted to local health care priorities considering that most of these patients are at low risk of severe COVID-19 infection. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
Consideration in the management of renal cell carcinoma during the COVID-19 Pandemic
Conclusion: In the pandemic COVID -19 times, a tailored risk-based approach must be used for a safe management of RCC, aiming to not compromise the oncological outcomes of the patients. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research
