Editorial: Impact of coronavirus disease 2019 on urological healthcare.
Editorial: Impact of coronavirus disease 2019 on urological healthcare.
复制标题
社论：2019 年冠状病毒病对泌尿外科医疗保健的影响。
DOI：
10.1097/mou.0000000000000960
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发表时间：
2022
影响因子：
2.5
通讯作者：
Parekh,DipenJ
中科院分区：
文献类型：
--
作者：
Kresch,Eliyahu;Ramasamy,Ranjith;Parekh,DipenJ
2019冠状病毒病（COVID-19）大流行改变了泌尿科实践，并为在安全环境中维持高水平护理带来了新的挑战。与早期的理论相反，这些疾病的影响跨越人体，包括泌尿系统，从加剧LUTS到对男性生殖健康的潜在严重影响[1-3]。坎等人（第100页）141-145）和Dubin et al.（第100页）146-151）讨论了COVID-19对LUTS和排尿功能障碍管理以及男性健康的一些具体影响。必须在从门诊到手术室的住院手术的整个护理范围内找到解决方案。在诊所就诊时，提供者和患者都必须佩戴口罩并保持社交距离[4]。幸运的是，这场大流行起到了催化剂的作用，使远程医疗被用于不太紧急的咨询，只有在必要的时候才进行面对面的访问[5]。Rambhatla et al.（第100页）152-157）大多数良性泌尿外科手术应推迟到大流行结束后[6]。武汉的医院报告称，COVID阳性患者的术后死亡率高达20%[7]。因此，EAU指南建议根据伤害的可能性对患者进行分类。目前建议，如果延迟超过6周，可能会造成伤害，则应给予治疗[8]。Ory等人概述了更详细的分类实践。（第100页）131-140）在这个问题上。在紧急情况下，如尿潴留或结石性脓毒症，应尝试在局部麻醉下进行治疗[6]。对于手术，如根治性乳房切除术，治疗延误可能导致不良结局，应特别小心，以确保手术环境中的最大无菌性。这包括对所有相关人员进行术前隔离和检测。强烈建议接种疫苗，希望有助于最终结束这一流行病。Shah等人概述了泌尿系结石治疗的复杂性。（第100页）COVID-19大流行对泌尿外科医疗保健系统产生了迅速和不可避免的影响。不可避免的是，我们都需要根据不断演变的变化来调整和改变我们的做法。
The coronavirus disease 2019 (COVID-19) pandemic has altered Urologic practice and brought forth new challenges to maintain high level care in a safe environment. Contrary to earlier theories, the diseases’ effects span the human body including the urinary system from exacerbating LUTS to potentially serious impacts on men’s reproductive health [1–3]. Can et al.(pp. 141–145) and Dubin et al.(pp. 146–151) discuss some of COVID-19’s specific impacts on LUTS and voiding dysfunction management as well as Men’s Health. Solutions must be found across the spectrum of care from outpatient visits in clinic to in-patient surgeries in the operating room. In an office visit, both provider and patient must wear masks and maintain social distancing [4]. Fortunately, the pandemic acted as a catalyst in the adoption of telemedicine for less urgent consults, with face-to-face visits only occurring whenever necessary [5]. This topic is addressed at length by Rambhatla et al.(pp. 152–157) Most benign urologic procedures should be postponed until after the pandemic is over [6]. Hospitals in Wuhan reported postoperative mortality of up to 20%[7] in COVID-positive patients. Therefore, EAU Guidelines recommend triaging patients based on likelihood of harm. Its currently recommended that treatment be given when harm is likely if postponed for more than 6 weeks [8]. More detailed triaging practices are outlined by Ory et al.(pp. 131–140) in this issue. In emergent conditions, such as urinary retention or stone sepsis, attempts should be made to provide treatment under local anesthesia [6]. For procedures, such as radical prostatectomy where delay of treatment can lead to poor outcomes, extreme care should be taken to ensure maximum sterility in the operative environment. This includes preoperative isolation and testing for all personnel involved. Vaccination is highly recommended and will hopefully aid in finally ending this pandemic. The intricacies of urinary stone management are outlined by Shah et al.(pp. 158–164) The COVID-19 pandemic has had rapid and inevitable effects on urological health care systems. It is inevitable that we all need to adapt and change our practices based on continuously evolving changes.