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Guidelines for endourological procedures during COVID-19 have suggested deferring all elective procedures, while obstructed/ infected stones should undergo urgent decompression.
At our centre, screening protocols were implemented with prioritization strategies so that elective care could safely continue at deescalated rates. COVID or septic patients underwent emergency decompression, while non-COVID and non-septic patients underwent primary ureteroscopy (URS) or retrograde intrarenal surgery (RIRS).
We aim to report our experience with endourological surgery for stone disease during COVID-19.
We conducted a retrospective review of a prospectively maintained database of all endourological surgeries for stones in our centre during the first wave of COVID19.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who underwent endourological surgery for urolithiasis during COVID19 | Endourological surgery (including ureteral stent insertion, ureteroscopy, retrograde intrarenal surgery) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endourological surgery | Procedure | Includes ureteral stent insertion, ureteroscopies and retrograde intrarenal surgeies |
|
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Length of hospital stay | From admission to discharge from hospital, up to 3 months |
| Complication rate | Complications as defined by Clavien Dindo classification system | From admission up to 3 months post operatively |
| Stone free rate | At follow up visit in clinic 3 months post procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Readmission rate | From discharge up to three months post operatively |
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Inclusion criteria
- all patient with urolithiasis who underwent endourological interventions during COVID19 pandemic
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All patients with obstructing urolithiasis who underwent decompression of ureteric stents, ureteroscopy or retrograde intrarenal surgery with laser lithotripsy during the period of study in our institution were included in the study
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| Name | Affiliation | Role |
|---|---|---|
| Chin Tiong Heng | Ng Teng Fong General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ng Teng Fong General Hospital, Singapore | Singapore | 609606 | Singapore |
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| ID | Term |
|---|---|
| D052878 | Urolithiasis |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| D052801 | Male Urogenital Diseases |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |