Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era
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 managemen...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2020-07-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/ibju/v46s1/1677-6119-ibju-46-s01-0039.pdf |
| _version_ | 1828923195185430528 |
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| author | Moisés E. Rodríguez Socarrás Francesco Esperto Marcelo Denilson Bapstistussi Felipe Barufaldi Matheus Soares Vital Rocco Papalia Annamaria Salerno Rita Cataldo Ana María Autrán-Gómez Roberto Mario Scarpa |
| author_facet | Moisés E. Rodríguez Socarrás Francesco Esperto Marcelo Denilson Bapstistussi Felipe Barufaldi Matheus Soares Vital Rocco Papalia Annamaria Salerno Rita Cataldo Ana María Autrán-Gómez Roberto Mario Scarpa |
| author_sort | Moisés E. Rodríguez Socarrás |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T22:35:01Z |
| format | Article |
| id | doaj.art-119a7a8b40944fb2ad71672400b968d5 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-13T22:35:01Z |
| publishDate | 2020-07-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-119a7a8b40944fb2ad71672400b968d52022-12-21T23:28:59ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192020-07-0146suppl 1394910.1590/s1677-5538.ibju.2020.s105Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 eraMoisés E. Rodríguez Socarráshttps://orcid.org/0000-0002-6748-683XFrancesco EspertoMarcelo Denilson BapstistussiFelipe BarufaldiMatheus Soares VitalRocco PapaliaAnnamaria SalernoRita CataldoAna María Autrán-GómezRoberto Mario ScarpaABSTRACT 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.http://www.scielo.br/pdf/ibju/v46s1/1677-6119-ibju-46-s01-0039.pdfCOVID-19 [Supplementary Concept]spike protein, SARS-CoV-2 [Supplementary Concept]Lithotripsy |
| spellingShingle | Moisés E. Rodríguez Socarrás Francesco Esperto Marcelo Denilson Bapstistussi Felipe Barufaldi Matheus Soares Vital Rocco Papalia Annamaria Salerno Rita Cataldo Ana María Autrán-Gómez Roberto Mario Scarpa Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era International Brazilian Journal of Urology COVID-19 [Supplementary Concept] spike protein, SARS-CoV-2 [Supplementary Concept] Lithotripsy |
| title | Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era |
| title_full | Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era |
| title_fullStr | Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era |
| title_full_unstemmed | Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era |
| title_short | Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era |
| title_sort | endourology lithiasis management surgical considerations and follow up of patients in the covid 19 era |
| topic | COVID-19 [Supplementary Concept] spike protein, SARS-CoV-2 [Supplementary Concept] Lithotripsy |
| url | http://www.scielo.br/pdf/ibju/v46s1/1677-6119-ibju-46-s01-0039.pdf |
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