Kuwait Medical Electronic Library

Effect of COVID-19-related lockdown on functional urology practice and patient care in Gulf Cooperation Council region

Mai Ahmed Banakhar 1, Saleh Mohammed Bin Salman 2, Tariq F Al-Shaiji 3, Ayman Elamin Younis 4, Maher Saleh Moazin 5, Salim Al-Busaidy 6, Ayman Raees 7, Abdullah Al-Naimi 8

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03 January 2022

doi: 10.4103/ua.ua_54_21

Abstract

Background: This survey was designed and conducted during the lockdown period to assess its effect on urology practice dealing with patients with voiding dysfunction and their care in the Gulf Cooperation Council (GCC) region.

Methods: An online survey was sent across to urologists managing patients with voiding dysfunction in countries of the GCC region through various social media platforms. All valid responses were tabulated and analyzed.

Results: A total of 202 responses were received. Higher proportion of urologists in private sector (98.2%) were treating patients in comparison to those in public or governmental hospitals (82.7%); (P = 0.007). Telemedicine was used by 72% of the respondents. Telephone calls were preferred With regard to perception of risk while examining patients, 65% of the respondents felt that their risk was equal to other specialties. Their preferred prevention strategy would be pre-operative screening. Financial impact affected only 10% claimed major catastrophic effect. There was a significant difference between private and public government urology services provided, with a higher proportion of patients seen, operations performed, fees charged for telemedicine, and financial effect in the private sector with P = 0.012, P = 0.037, P = 0.004, and P = 0.001, respectively.

Conclusion: Our survey showed that majority of urologists in the GCC region were seeing patients during COVID-19 lockdown. Emergency services were prioritized. A large proportion of urologists had switched over to telephonic communication. Most of the responding urologists were uncertain about when and how to resume surgical procedures upon easing of the COVID-19-related restrictions.

Keywords: 2019-nCoV; LUTS; SARS; corona; coronavirus; functional urology; lockdown; voiding dysfunction.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1 Type of patient seen in clinics by urologists seeing patients

Figure 2 Type of operations performed by urologists

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References

1. López-Fando L, Bueno P, Carracedo D, Averbeck M, Castro-Díaz DM, Chartier-Kastler E, et al. Management of female and functional urology patients during the COVID pandemic. Eur Urol Focus. 2020;6:1049–57. - PMC - PubMed
1. WHO Director-General's Opening Remarks at the Media Briefing on COVID-19; World Health Organization; March 11. 2020. [Last accessed on 2020 Mar 11]. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-re... .
1. Puliatti S, Eissa A, Eissa R, Amato M, Mazzone E, Dell’Oglio P, et al. COVID-19 and urology: A comprehensive review of the literature. BJU Int. 2020;125:E7–14. doi: 10.1111/bju.15071. Epub 2020 May 12. - PubMed
1. Steward JE, Kitley WR, Schmidt CM, Sundaram CP. Urologic surgery and COVID-19: How the pandemic is changing the way we operate. J Endourol. 2020;34:541–9. - PubMed
1. Boehm K, Ziewers S, Brandt MP, Sparwasser P, Haack M, Willems F, et al. Telemedicine online visits in urology during the COVID-19 pandemic-potential, risk factors, and patients’ perspective. Eur Urol. 2020;78:16–20. - PMC - PubMed
1. Larson JL, Rosen AB, Wilson FA. The effect of telehealth interventions on quality of life of cancer survivors: A systematic review and meta-analysis. Health Inform J. 2019;26:1060–78. - PubMed
1. European Association of Urology. [last accessed on 2021 Mar 01]. Available from: https://uroweb.org/wp-content/uploads/EAUGuidelines-Office-Rapid-Reactio... .
1. Ling Y, Xu SB, Lin YX, Tian D, Zhu ZQ, Dai FH, et al. Persistence and clearance of viral RNA in 2019 novel coronavirus disease rehabilitation patients. Chin Med J (Engl) 2020;133:1039–43. - PMC - PubMed
1. Kwon S, Kim E, Jung YS, Jang JS, Cho N. Post-donation COVID-19 identification in blood donors. Vox Sang. 2020 Nov;115(8):601–602. doi: 10.1111/vox.12925. Epub 2020 Apr 21. - PubMed

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