Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

• Autor(a) principal: Socarrás,Moisés E. Rodríguez
• Data de Publicação: 2020
• Outros Autores: Esperto,Francesco, Bapstistussi,Marcelo Denilson, Barufaldi,Felipe, Vital,Matheus Soares, Papalia,Rocco, Salerno,Annamaria, Cataldo,Rita, Autrán-Gómez,Ana María, Scarpa,Roberto Mario
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Braz J Urol (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000700039
• topic: COVID-19 [Supplementary Concept]; spike protein, SARS-CoV-2 [Supplementary Concept]; Lithotripsy

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.