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pmid32538814      Arch+Esp+Urol 2020 ; 73 (5): 429-437
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  • Manejo del paciente neurourologico durante la pandemia COVID-19 #MMPMID32538814
  • Padilla-Fernandez B; Hernandez-Hernandez D; Arlandis-Guzman S; Blasco-Hernandez P; Carela-Espin J; Errando-Smet C; Garcia-Matres Cortes MJ; Garcia-Moreno AM; Lopez-Fando Lavalle L; Madurga-Patuel B; Resel-Folkersma L; Sanchez-Merino JM; Zubiaur-Libano MDC; Castro-Diaz DM
  • Arch Esp Urol 2020[Jun]; 73 (5): 429-437 PMID32538814show ga
  • To report the recommendations of an expert panel to reorganize Neurourology units and to prioritize examinations and both conservative and surgical treatments during the COVID-19 pandemic. MATERIALS AND METHODS: Non-systematic review of the literature and national experts' opinion summarizing the recommendations in the diagnosis, management, and follow-up of neurourological patients during the COVID-19 pandemic. A modified nominal group technique was used due to extraordinary meeting and mobility restrictions during COVID-19 pandemic. RESULTS: Neurourological patients have special physiological and pathological characteristics that make them more vulnerable to SARS-CoV-2 infection. For prioritization purposes, they encompass in Functional Urology patients and their management is considered non-urgentor delayable with no specific deadline of recovery from normality. However, it is important to identify individual situations jeopardising the upper urinary tract, urinary retention or predisposing to urinary infections/sepsis. A classification is provided prioritizing conservative/outpatient management and the surgical treatment of the events occurring in neurourological patients during the COVID-19 pandemic. CONCLUSIONS: In neurourological patients we can find exceptional clinical situations in which a delayed treatment could develop irreversible changes in the upper urinary tract, advocating a more urgent treatment inspecific scenarios.
  • |*Betacoronavirus[MESH]
  • |*Coronavirus Infections/epidemiology[MESH]
  • |*Nervous System Diseases/diagnosis/therapy[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/epidemiology[MESH]
  • |COVID-19[MESH]
  • |Humans[MESH]


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