Where do Urologists Stand in the Era of Novel Coronavirus-2019 Disease

Thomas Hughes; Hui Ching Ho; Shahrokh F. Shariat; Bhaskar Kumar Somani

Curr Opin Urol. 2020;30(4):610-616.

Future Implications

The long-term impact of the pandemic is difficult to fully appreciate, while still in the midst of the crisis and the effects are likely to have long-lasting implications. The toll on mental health and training progression of medical staff should not be overlooked and colleagues may be in need of support. The effects of delaying procedures and diagnosis may have far-reaching effects that will not be understood for many years. It might also mean testing of all patients on wards and in theatres.

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Table 1. Showing prioritization for nononcological disease
	Nonurgent	Low priority	High priority	Emergency
Renal stone disease	Asymptomatic renal stone		Obstructing ureteric stone Stone disease with ureteric stent in situ	Obstructed/infected kidney
Renal transplant	Live donor renal transplantation		Deceased donor renal transplantation
Benign scrotal	Hydrocele/varicocele			Testicular torsion
Infection				Scrotal abscess/Fourniers gangrene
Haematuria		Flexible cystoscopy		Clot retention
Other	Andrology and incontinence surgery			Urinary tract trauma surgery

Table 2. Showing prioritization for oncological disease
	Low priority	High priority
Renal cancer	Nephrectomy (low risk)	Nephrectomy (high risk)
Upper urinary tract cancer	Nephroureterectomy (low risk)	Nephroureterectomy (high risk)
Bladder cancer	Cystectomy (low risk) TURBT (low risk)	Cystectomy (high risk) TURBT (high risk)
Prostate cancer	Radical prostatectomy transrectal/perineal prostate biopsy
Testicular cancer		Orchidectomy