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Egyptian urinary stones in the COVID-19 outbreak: a multi-center study

kotb, Sameh ; Ezzat, Mohamed ; Galal Elsheikh, Mohamed ; Mohamed Elshorbagy, Galal

African journal of urology, 2024-12, Vol.30 (1), p.16-6 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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  • Título:
    Egyptian urinary stones in the COVID-19 outbreak: a multi-center study
  • Autor: kotb, Sameh ; Ezzat, Mohamed ; Galal Elsheikh, Mohamed ; Mohamed Elshorbagy, Galal
  • Assuntos: Analysis ; Calculi, Urinary ; COVID-19 ; COVID-19 vaccines ; Emergency medical care ; Endoscopy ; Epidemics ; Females ; Health aspects ; Imaging ; Infection ; Infections ; Lithotripsy ; Medicine ; Medicine & Public Health ; Neutrophils ; Original Research ; Outpatient care facilities ; Pandemics ; Patients ; Radiology ; Surgery ; Urinary stones ; Urinary tract diseases ; Urological surgery ; Urology ; Vitamin C
  • É parte de: African journal of urology, 2024-12, Vol.30 (1), p.16-6
  • Descrição: Background Urolithiasis is a unique disease that can cause emergencies and can impair kidney function over time, especially if infections overlap. This work aimed to compare urolithiasis in the pre- and post-pandemic era and to study the impact of the COVID-19 pandemic on patient preferences and decision-making for symptomatic urolithiasis and consequently complications. Methods This case–control multi-center study was conducted at the Urology Department of two tertiary centers in XXX. Participants were divided into two groups: group A: patients who had urolithiasis from March 1, 2018, to February 29, 2020 (pre-COVID-19 period), and group B: patients who had urolithiasis from March 1, 2020, to February 28, 2022 (during COVID-19 period). Results Group A had a significantly higher incidence of percutaneous nephrolithotomy (PCNL) without double J stenting (DJ), nephrolithotomy + pyelolithotomy and total PCNL compared to group B which had a lower incidence of URS without DJ and total URS. The operation was delayed among 72 (15.9%) patients during the pandemic. In total, 116 (25.6%) were subjected to previous stone removal surgery. In total, 59 (13%) of patients had COVID-19 infection before stone diagnosis. One hundred thirty-two patients (29.1%) were on vitamin C. The presence of positive family history was statistically significant in patients who underwent ESWL in comparison with patients who underwent endoscopy or surgery ( P  = 0.03). Conclusions COVID-19 significantly impacted endourological services for urinary stones in terms of surgical volume and case complexity.
  • Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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