Alkis Okan, Baser Aykut, Caglayan Mustafa Serdar, Teke Kerem, Avci Ibrahim Erkut, Yasar Adem, Keskin Ercument, Yuksekkaya Mustafa, Celen Sinan, Ozlulerden Yusuf, Olcucu Mahmut Taha, Ucar Murat, Guzel Ahmet, Asutay Mehmet Kazim, Bahceci Tuncer, Oncel Halil Ferat
Department of Urology, Kütahya Health Sciences University, Faculty of Medicine, Kütahya, Turkey.
Department of Urology, Hitit University, Faculty of Medicine, Corum, Turkey.
Sisli Etfal Hastan Tip Bul. 2022 Mar 28;56(1):49-54. doi: 10.14744/SEMB.2021.59852. eCollection 2022.
We aimed to reveal the change of urological emergencies during the COVID-19 pandemic compared to the same period of the previous year.
The number of admissions to the emergency department (ED), admissions to the urology outpatient clinic, emergency urological consultations, and urological and emergency urological surgeries during the periods April-November-2019 and April-November-2020 were recorded. The data of the COVID-19 period were compared with the previous year.
While the number of admissions to the urological outpatient clinic was 160,447 during the COVID period, it was 351,809 during the non-COVID period. The number of admissions to the ED decreased from 3.2 million to 2.4. The number of admissions to the urology outpatient clinic significantly decreased by 54% during the pandemic (p=0.001). Percutaneous cystostomy performed due to acute urinary obstruction decreased by 27.96%, double J stent, nephrostomy decreased by 16.61%, and ureterorenoscopy decreased by 12.26%. Urogenital trauma also decreased. On the contrary, surgical procedures performed due to penile fracture, gross hematuria, Fournier gangrene, and testicular torsion increased.
During the COVID-19 pandemic, a significant decrease was observed in non-COVID patients' admissions to the emergency and urology department, and in urologic surgeries.
我们旨在揭示与上一年同期相比，2019冠状病毒病大流行期间泌尿外科急症的变化情况。
记录了2019年4月至11月和2020年4月至11月期间急诊科的入院人数、泌尿外科门诊的就诊人数、泌尿外科急诊会诊以及泌尿外科和急诊泌尿外科手术的数量。将2019冠状病毒病期间的数据与上一年的数据进行了比较。
在2019冠状病毒病期间，泌尿外科门诊的就诊人数为160447人，而非2019冠状病毒病期间为351809人。急诊科的入院人数从320万降至240万。大流行期间，泌尿外科门诊的就诊人数显著减少了54%（p=0.001）。因急性尿路梗阻进行的经皮膀胱造瘘术减少了27.96%，双J支架置入术、肾造瘘术减少了16.61%，输尿管镜检查减少了12.26%。泌尿生殖系统创伤也有所减少。相反，因阴茎骨折、肉眼血尿、福尼尔坏疽和睾丸扭转而进行的外科手术增加了。
在2019冠状病毒病大流行期间，非2019冠状病毒病患者到急诊科和泌尿外科的就诊人数以及泌尿外科手术数量均显著减少。
