Triaging urological surgeries to cope with the coronavirus-19 pandemic

Jesse Spooner, Tarek Lawen, Jesse Ory

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of review The coronavirus-19 (COVID-19) pandemic has led to strains on hospital resources and difficulties in safely and effectively triaging surgical procedures. In this article, we discuss the important considerations for triaging urologic surgeries during a global pandemic, mitigating factors on how to perform surgeries safely, and general guidelines for specific surgeries. Recent findings Many urological procedures have been cut back due to the pandemic, with benign disease states being most affected whereas oncology cases affected least. Current recommendations in urology triage lifethreatening conditions, or conditions that may lead to life-threatening ailments as a priority for treatment during the pandemic. Additionally, published recommendations have been put forth recommending all surgical patients be screened for COVID-19 to protect staff, prevent disease dissemination, and to educate patients on worse outcomes that can occur if infected with COVID-19 in the postoperative period. Summary COVID-19 has caused worldwide shortages of healthcare resources and increased the need to ethically triage resources to adequately treat the urologic community. These resource limitations have led to increased wait times and cancellations of many urology surgeries that are considered 'elective'.

Original languageEnglish (US)
Pages (from-to)131-140
Number of pages10
JournalCurrent opinion in urology
Volume32
Issue number2
DOIs
StatePublished - Mar 1 2022
Externally publishedYes

Keywords

  • Coronavirus-19
  • Surgery
  • Triage
  • Urology

ASJC Scopus subject areas

  • Urology

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