Impact of COVID-19 in Female Urology

Palma, Paulo Cesar Rodrigues; Brito, Luiz Gustavo Oliveira; Ghigo, Joanna

doi:10.1590/S1677-5538.IBJU.2020.S111

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Sumário

Review Article • IBJUInt. braz j urol 46 (Suppl 1) • July 2020 • https://doi.org/10.1590/S1677-5538.IBJU.2020.S111 copy

Impact of COVID-19 in Female Urology

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This review discusses the impact of COVID-19 in Female Urology, revises the most important disorders in this field and how their diagnosis and treatment may be modified due to the current pandemic. The text also discusses new options such as telemedicine and what clinical situations within Female Urology should be of utmost importance for the urologist to be careful about. We also discuss how surgeries are being postponed are resumed according to the local scenario.

Keywords:
Telemedicine; COVID-19 diagnostic testing [Supplementary Concept]; Female

Complications	Subtypes	Treatment^* * If surgical treatment, preoperative recommendation would be to test all patients if COVID-19 kits available, or to prioritize oligosymptomatic or symptomatic patients. Postoperative recommendation would be for same-day discharge and to consider prophylaxis or treatment of anticoagulation for symptomatic COVID-19 cases.
Urinary tract infection	Relapsing UTI	Change antibiotics after requesting an urineculture
	Complicated UTI	Hospitalar management if patient present clinical instability with antibiotics and/or surgery
	Acute pelvic pain with urinary symptoms	Endovenous analgesics plus screening for differential diagnosis
Urinary incontinence	Postoperative acute retention	Clarify reasons and initiate treatment: sling mesh loosening or transurethral catheterization
	Postoperative urogenital fistula	Transurethral catheterization, prophylactic antibiotics and schedule surgery after pandemic
Pelvic organ prolapse	Bleeding or pain secondary to vaginal pessary	Pessary removal with or without sedation
	Vaginal vault rupture after POP surgery	Surgical vaginal vault closure
	Bladder eversion	Manual reduction with or without surgical management

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[1] Correspondence address: Paulo Cesar Rodrigues Palma, MD, PhD, Divisão de Urologia, Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas – UNICAMP Brasil Rua Vital Brasil, 250, Cidade Universitária Barão Geraldo, Campinas, SP, 13083-590, Brasil. E-mail: ppalma@unicamp.br