Abstract
BackgroundTo evaluate the impact of COVID-19 lockdown on non-COVID urological patient’s management in tertiary care urology centres.MethodsThis is an observational study in which data of patients visiting the urology department of all the MCGM run tertiary care hospitals were recorded for the duration of 1 April 2020 to 31 July 2020 and were compared to data of pre-COVID-19 period of similar duration.ResultsThere was a decrease of 93.86% in indoor admissions of urology patients during the COVID-19 lockdown. Indoor admissions for stone disease, haematuria, malignancy accounted for 53.65%, 15.85%, 9.75%, respectively. Elective surgeries had the highest percentage decrease followed by emergency and semi-emergency procedures. There was a reduction of more than 80% in patients attending outpatient clinics. Stone disease and its consequences were the main reasons for visiting outdoor clinics (39%). A substantial number of patients presented with flank and abdominal pain (14.8%) and benign enlargement of the prostate (10.23%). Malignancy accounted for a very small number of patients visiting outdoor clinics (1.58%).ConclusionsCOVID-19 pandemic has a profound impact on patient care and education in Urology. There was more than ninety percent reduction in indoor admissions, operative procedures, and outpatient clinics attendance. Once the pandemic is controlled, there will be a large number of patients seeking consultation and management for urological conditions and we should be prepared for it. Surgical training of urology residents needs to be compensated in near future. Long-term impact on urological patient outcome remains to be defined.
Highlights
To evaluate the impact of COVID-19 lockdown on non-COVID urological patient’s management in tertiary care urology centres
The majority of patients who came to hospitals were in the age group of 51 to 60 years and were at higher risk for complications if they got infected with COVID-19 [5]
COVID-19 pandemic has a profound impact on patient care and education in urology
Summary
To evaluate the impact of COVID-19 lockdown on non-COVID urological patient’s management in tertiary care urology centres. COVID-19 was declared as a pandemic by the WHO on 11 March 2020 [1]. As of December 2020, the total number of COVID-19 infected patients in India is more than. Jibhakate et al Afr J Urol (2021) 27:96 on 25 March 2020, these hospitals have been converted into COVID dedicated facilities to deal with the increasing number of COVID-19 patients. Urology wards were converted into medicine wards to accommodate COVID19 patients. Since the beginning of lockdown, all elective outpatient clinics, elective indoor admissions, and elective operative procedures were suspended. Symptomatic patients presented in outdoor clinics and emergency departments and were attended
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