The Impact of the COVID-19 Quarantine on Sexual Life in ItalyThe aim of the study is to evaluate how individual and couple's sexuality had changed during the COVID-19 pandemic-related quarantine.
Outreach and Influence of Surgical Societies’ Recommendations on Minimally Invasive Surgery During the COVID-19 Pandemic—An Anonymized International Urologic Expert InquiryTo assess the outreach and influence of the main recommendations of surgical governing bodies on adaptation of minimally invasive laparoscopic surgery (MIS) procedures during the coronavirus disease 2019 (COVID-19) pandemic in an anonymized multi-institutional survey.
Urology Residency Applications in the COVID-19 EraTo evaluate urology applicants’ opinions about the interview process during the COVID-19 pandemic.
Right Place, Right Time: Serendipitous Opportunities in a Urology Fellowship Disrupted by the COVID-19 PandemicThe COVID-19 pandemic has significantly disrupted postgraduate Urology training. In this letter, I share my motivations to pursue fellowship training, and share the serendipitous opportunities I received to contribute to my host country and fellow countrymen during the COVID-19 pandemic.
Perceived Impact of Urologic Surgery Training Program Modifications due to COVID-19 in the United StatesTo assess urology residency program modifications in the context of COVID-19, and perceptions of the impact on urology trainees.
Impact of the COVID-19 Pandemic on the Urology Residency Match in SingaporeThe COVID-19 pandemic has led to significant disruptions in undergraduate and postgraduate Urology education and training. In this letter, we examine the wide-ranging impact of the COVID-19 pandemic on the Urology Residency Match in Singapore, and share strategies to proactively mitigate these consequences.
Concerns in Redirecting Uro-oncologic Patients During COVID-19 PandemicCOVID-19 pandemic dramatically struck northern Italy during the last few weeks, causing a multiregional health system crisis for the overwhelming number of patients who required hospital admission, particularly, with regards to the occupation of intensive care units in case of acute respiratory syndrome. A survey among leading European urological centers showed a reduction in oncologic surgery of at least 40%-50% in March.1 The following weeks of April saw a drastic reduction of the remaining elective surgery.
Surgical Precautions for Urologists in the Era of COVID-19Since our article detailing Urologists’ efforts in Singapore during its initial outbreak,1 COVID-19 has become a global pandemic. As incidence and mortality rises worldwide, countries have instituted crippling lockdowns. Singapore has not been immune, resulting in nation-wide restrictions and “circuit breaker” measures.2 It is evident that the medical community must prepare for a prolonged effort to not only contain COVID-19, but continue care for non-COVID-19 patients.
The Good, the Bad, and the Ugly of the COVID-19 Pandemic in a Urology Residency Program in SingaporeThe COVID-19 pandemic has affected Residency training worldwide in an unprecedented fashion.1-3 Residency Programs have been abruptly asked to respond in innovative and dynamic ways in the face of the pandemic.4 We share important lessons and insights about the impact on a Urology Residency Program in an Academic Medical Center in Singapore. We focus our discussion around the Academic, Administrative, Professional, and Personal Developmental aspects of Residency training.
The START (Surgical Triage And Resource Allocation Tool) of Surgical Prioritization During the COVID-19 PandemicTo the Editor: Guidelines on deferring surgeries during the COVID-19 pandemic have been based primarily on disease urgency, without addressing resource allocation specifically.1-5 We highlight resource stewardship issues, and share an easily administered and highly adaptable tool for surgical prioritization depending on surgical acuity and resource utilization, 2 key determinants of resource allocation in a pandemic.
The Early Impact of COVID-19 Pandemic on Surgical Urologic Oncology Practice in Turkey: Multi-Institutional Experience From Different Geographic AreasThe human spread of a novel beta-coronavirus, that is, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first reported in Wuhan in December 2019.1 COVID-19 was then designated as the name of the disease resulting from this infection which is short for “Coronavirus Disease 2019.”1 COVID-19 has been declared as a pandemic by the World Health Organization on March 11, 2020, which is also the date when the first confirmed case in Turkey has been announced by the Ministry of Health. As in other countries, number of cases increased over time in correlation with the increasing number of testing as well as spread of the virus and as of April 30, 2020 there were 120,204 confirmed cases in Turkey, which ranked as seventh after Germany.
Guess Who's Coming to Dinner: COVID-19 in a COVID-free UnitTo assess the impact of the pandemic on surgical activity and the occurrence and features of Covid-19 in a Covid-free urologic unit in a regional hospital in Northern Italy.
A Tale of Two Cities: Insight and Practical Considerations During the Covid PandemicThere are 4639 miles between Milan, Italy (Cestari) and Knoxville, TN (White). Milan is a cultural and economic global linchpin with a population of well over 3 million people. Knoxville is a regional hub in the State of Tennessee near the base of the Smoky Mountains with a population of around 500,000. Milan is the cornerstone of the Lombardy region in Italy, among the most deeply impacted areas of the world by SARS-CoV-2 (COVID-19). Knoxville just recorded its 175th case. There could not be a more divergent reality for the 2 of us.
Personal Protective Equipment for Common Urologic Procedures Before and During the United States COVID-19 Pandemic: A Single Institution StudyTo evaluate the personal protective equipment (PPE) utilized in common urologic procedures before and during the COVID-19 outbreak in the United States. As elective urologic procedures are being reduced to conserve resources, we sought to quantify the PPE used per case to determine the impact on potentially limited resources needed for protecting healthcare providers treating COVID-19 patients.
Preserving Operational Capability While Building Capacity During the COVID-19 Pandemic: A Tertiary Urology Centre's ExperienceThe COVID-19 pandemic has spread rapidly across the globe, with the World Health Organisation declaring it a global health emergency on January 30, 2020.1 As one of the countries earliest affected, Singapore reported its first imported case on 23 January. In the following 2 weeks, Singapore had the highest number of confirmed cases worldwide outside of China, with its national Disease Outbreak alert level raised in response to evidence of worsening local transmission.
Rising Concern on Damaged Testis of COVID-19 PatientsNowadays, COVID-19, an appalling pandemic disease characterized by respiratory failure, has affected a lot of people around the world and the number is still climbing high. According the data from the World Health Organization, up to April 9, 2020 this pandemic has infected 1,395,136 and totally killed 81,580 infected.1 Knowing from the work of Guan et al, 637 from 1096 infectors, 58.1%, is male.2 More importantly, a great number of these suffers are in the childbearing age. Thus, it is a significant question on the table that whether SARS-CoV-2, the virus causing COVID-19, could attack the testis.
Asymptomatic COVID-19 Infection in a Patient Evaluated for Ureteric Colic: Radiological Findings and Impact on ManagementThough no specific urologic manifestations of COVID-19 are recognized, it is important that urologists be aware of potential asymptomatic infection in patients presenting with urologic pathology.
Adapting Urology Residency Training in the COVID-19 EraThe novel coronavirus (COVID-19) pandemic has affected the lives of many health care workers (HCW), including resident physicians. Residents comprise a large portion of the workforce in many academic centers and have become critical in the front-line response for COVID-19 patients. As hospitals experience surges in admissions, residents in many disciplines, including urology, have been asked to function outside their specialty training to join COVID-19 treatment units. As the pandemic unfolds, urology residents will face challenges regarding personal safety and well-being, disruptions in their urology training, and relationship strain.
Experience from Malaysia During the COVID-19 Movement Control OrderCOVID-19 pandemic has caused an unprecedented impact to the whole world. Many countries had made the difficult decision to lockdown their countries in order to curb the infection and mortality rate. Malaysia was among the first country to implement Movement Control or Restriction Order in the South East Asia Region following the recent worsening of COVID-19 outbreak. This correspondence describes our experience and the impact of the movement control order to our services and training.
The Use of Captopril—Angiotensin Converting Enzyme (ACE) Inhibitor for Cystinuria During COVID-19 PandemicCystinuria is rare condition affecting around 1:2000 people in United Kingdom but is a chronic condition and presents with recurrent urolithiasis requiring multiple surgical interventions. Studies in adult has demonstrated higher prevalence of hypertension, and renal impairment. Apart from increase fluid intake, alkalinisation of urine and lower salt intake, thiols medications are important second line preventative strategies. There has been issues with supply of both D-Penicillamine and tiopronin and captopril is an easily available drug.
Managing Urology Consultations During COVID-19 Pandemic: Application of a Structured Care PathwayTo describe and evaluate a risk-stratified triage pathway for inpatient urology consultations during the SARS-CoV-2 (COVID-19) pandemic. This pathway seeks to outline a urology patient care strategy that reduces the transmission risk to both healthcare providers and patients, reduces the healthcare burden, and maintains appropriate patient care.
Telemedicine and eConsults for Hospitalized Patients During COVID-19The COVID-19 pandemic has rapidly changed how physicians assess and interact with patients. Many providers have appropriately cancelled nonemergent surgical procedures and converted ambulatory in-person appointments to remote video visits or phone calls. As hospitals throughout the United States begin to fill with patients afflicted with COVID-19 and other acute illnesses, the need to preserve personal protective equipment (PPE) and to reduce the risk of nosocomial COVID-19 transmission to patients and providers is critical.
Teleurology in the Time of Covid-19 Pandemic: Here to Stay?To assess the implementation and outcomes of telemedicine in a Department of Urology in Northern Italy during the outbreak of the Covid-19 pandemic.
Cleveland Clinic Akron General Urology Residency Program's COVID-19 ExperienceOne word can be used to best describe the theme of each day that has transpired since the onset of the COVID-19 pandemic: uncertainty. Urologic surgical residents around the nation are faced with the unknown when they walk through the doors of the hospital each day. While experience has taught us navigational strategies to handle these circumstances, the COVID-19 pandemic has undoubtedly brought new meaning to this concept. Priorities have quickly transitioned from closely following our previously developed academic curriculum and enhancing our surgical skills, to limiting physician-patient encounters and ensuring the safety and health of our team.