COVID-19's Impact on Italian Urology

Esperto, Francesco; Papalia, Rocco; Autrán-Gómez, Ana María; Scarpa, Roberto M.

doi:10.1590/S1677-5538.IBJU.2020.S103

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Sumário

Review Article • IBJUInt. braz j urol 46 (Suppl 1) • July 2020 • https://doi.org/10.1590/S1677-5538.IBJU.2020.S103 copy

COVID-19's Impact on Italian Urology

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The COVID-19 pandemic has impacted our lives, our habits and our healthcare system. Italy is one of the countries affected first and more aggressively from the outbreak. Our rapidity has been guide for other healthcare systems from around the World. 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.

Keywords:
COVID-19 [Supplementary Concept]; Urology; Pandemics

Procedure	Indication for the emergency phase	Note
Prostate biopsy	Postpone	Reconsider performing prostate biopsy in patients with high clinical suspicion of prostate cancer if the emergency phase should prolong
Flexible cystoscopy	Postpone	Reconsider performing cystoscopy in patients with high risk bladder cancer if the emergency phase should prolong
Replacement of ureteral stents and nephrostomy tube	Postpone up to 6 months
Intravesical therapy for high risk bladder cancer	Do not postpone
Intravesical therapy for low or intermediate risk bladder cancer	Postpone

Front office staff working		Healthcare personnel in contact with patients					Laboratory staff in contact with biological samples
At station in direct contact with patients	At station with protective glass	In contact with a suspected or confirmed case of COVID-19	In contact with a patient who presents symptoms of fever and / or cold and / or cough	Performing endoscopic procedures	Assigned to take a biological sample for COVID-19 + patient	Anesthesiologists performing intubation
frequent hand hygiene by using 60% alcohol solution	frequent hand hygiene by using 60% alcohol solution	FFP2 filtering mask (use FFP3 only for the procedures that generate aerosols)	FFP2 filtering mask (use FFP3 only for the procedures that generate aerosols)	FFP3 filtering masks	FFP3 filtering mask	FFP3 filtering mask	FFP3 filtering mask
wear the FFP2 filtering mask during the entire work shift	/	goggles or visors to protect eyes from biological liquids ‘splashes	goggles or visors to protect eyes from biological liquids ‘splashes	goggles or visors to protect eyes from biological liquids ‘splashes	goggles or visors to protect eyes from biological liquids ‘splashes	goggles or visors to protect eyes from biological liquids ‘splashes	goggles or visors to protect eyes from biological liquids ‘splashes
wear protective glasses from liquids splashes during the entire work shift	/	water repellent PPE coat	/	water repellent PPE coat	water repellent PPE coat	water repellent PPE coat	water repellent PPE coat
provide a surgical mask, supplied at the desk, to be worn by the patient with visible respiratory symptoms	provide a surgical mask, supplied at the desk, to be worn by the patient with visible respiratory symptoms	double gloves	gloves	gloves	double gloves	double gloves	double gloves

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E-mail: brazjurol@brazjurol.com.br

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[1] Correspondence address: Francesco Esperto, MD, Department of Urology, Campus Bio-medico, University of Rome, Via Alvaro del Portillo, 200, Rome, 00128, Italy. E-mail: francescoesperto@gmail.com