Endoüroloji Bülteni

Yazarlar: Gökhan ECER, Mehmet Giray SÖNMEZ, İbrahim GÖKSOY, Mert Metehan ARSLANER, Hakan Hakkı TAŞKAPU, Arif AYDIN, Mehmet BALASAR

Konular:Üroloji ve Nefroloji

Anahtar Kelimeler:COVID-19,Endourological stone management,Ureter stone,Hydronephrosis,Obstructive uropathy

Özet: Objective: In this study, it is aimed to share the details of the management of urinary stone disease during the COVID-19 pandemic at NEU Meram Medical Faculty Urology Department. Material and Methods The study of the first COVİD-19 cases seen in Turkey between the dates of March 10- May 15, 2020 have been included 52 patients who underwent surgery due to stone disease. Demographic information, radiological and laboratory examinations of the patients, pre-intra and postoperative details according to the anesthesia and treatment applied, and the data associated with COVID -19 were retrospectively analyzed. Results: The mean age of the patients included in the study was measured at 49,8. In this process, the most common procedure is the insertion of Dj (25 patients; 48%), and the second most common procedure is the removal of the DJ (15; 28.8%).13 patients (25%) were treated with URS, 8 (15.3%) patients were treated with nephrostomy catheter insertion, 4 (7.7%) patients were treated with PNL and 3 (5.8%) patients were treated with RIRS. 16 patients with URS and RIRS were also inserted Dj stents. In 9 patients, only stents were inserted without any intervention to the stone. Conclusion: The COVID-19 pandemic has completely altered the algorithms for approach to the patient in urology as in all surgical branches. As suggested in the guidelines in this process, In order to reduce the non-covid-19 patient load, our clinic accepted that elective endourological cases should be delayed as much as possible until after the pandemic and that interventions to eliminate obstruction should be preferred in emergency cases.

---