[French Association of Urology. COVID-19: Recommendations for functional urology].
Identifieur interne : 000024 ( Main/Exploration ); précédent : 000023; suivant : 000025[French Association of Urology. COVID-19: Recommendations for functional urology].
Auteurs : F. Michel [France] ; S. Gaillet [France] ; J N Cornu [France] ; G. Robert [France] ; X. Game [France] ; V. Phé [France] ; G. Karsenty [France]Source :
- Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [ 1166-7087 ]
Descripteurs français
- KwdFr :
- Femelle (MeSH), France (épidémiologie), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (épidémiologie), Maladies urologiques (thérapie), Mâle (MeSH), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (épidémiologie), Procédures de chirurgie urologique (méthodes), Urologie (organisation et administration).
- MESH :
- méthodes : Procédures de chirurgie urologique.
- organisation et administration : Urologie.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- thérapie : Maladies urologiques.
- épidémiologie : France, Infections à coronavirus, Pneumopathie virale.
- Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Mâle.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Female (MeSH), France (epidemiology), Humans (MeSH), Male (MeSH), Pandemics (prevention & control), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Practice Guidelines as Topic (MeSH), Urologic Diseases (therapy), Urologic Surgical Procedures (methods), Urology (organization & administration).
- MESH :
- geographic , epidemiology : France.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Urologic Surgical Procedures.
- organization & administration : Urology.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- therapy : Urologic Diseases.
- Female, Humans, Male, Practice Guidelines as Topic.
Abstract
AIM
The management of urology patient is currently disrupted by the COVID-19 epidemic. In the field of functional urology, there are clinical situations with a high risk of complication if management is delayed and a great heterogeneity of advisable reprogramming times after cancellation. A prioritization of functional urology procedures is necessary to adapt management during the COVID-19 crisis and to better organize post-epidemic recovery.
MATERIAL AND METHODS
The advice of AFU scientific committees in the field of functional urology (neuro-urology, female and perineology, male LUTS) was requested and supplemented by a review of the currently available recommendations on the subject of urology and COVID-19. These opinions were combined to draw up temporary recommendations to help reorganize practices during the epidemic and prepare the post-critical phase.
RESULTS
Most of the recommendations available on career-oriented social networks (Twitter, LinkedIn) or in literature concern cancer or general urology. Eight out of ten propose a cancellation of all functional urology procedures without distinction. But the 3 AFU committees covering the field of functional urology have identified three clinical situations in which surgical procedures that can be maintained during the COVID-19 epidemic (priority level A): conclusion of a neuromodulation test in progress (implantation or explantation), botulinum toxin A bladder injections for unbalanced neurologic bladder, cystectomy and ileal conduit for urinary fistula in perineal bedsore or refractory unbalanced neurologic bladder with acute renal failure and vesico-enteric or prostato-pubic fistulas. Management adaptation of the other pathologies are proposed, as well as the application of 3 priority levels (B, C, D) for rescheduled procedures for a better management of the post-crisis activity resumption.
CONCLUSION
The joint functional urology committees indicate that there are specific clinical situations in this field that demand non-delayed care during COVID crisis. They underline the need to establish a hierarchy for the cancelled surgeries, in order to reduce the arm of long reschedule delays and to optimize post-lockdown activity resumption.
DOI: 10.1016/j.purol.2020.04.007
PubMed: 32418734
PubMed Central: PMC7167583
Affiliations:
- France
- Aquitaine, Haute-Normandie, Midi-Pyrénées, Nouvelle-Aquitaine, Occitanie (région administrative), Provence-Alpes-Côte d'Azur, Région Normandie, Île-de-France
- Bordeaux, Marseille, Paris, Rouen, Toulouse
- Université Toulouse III - Paul Sabatier, Université d'Aix-Marseille, Université de Bordeaux
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
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<term>Pneumonia, Viral (prevention & control)</term>
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<term>Humains (MeSH)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Maladies urologiques (thérapie)</term>
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<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (épidémiologie)</term>
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<term>Pandémies</term>
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<front><div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>The management of urology patient is currently disrupted by the COVID-19 epidemic. In the field of functional urology, there are clinical situations with a high risk of complication if management is delayed and a great heterogeneity of advisable reprogramming times after cancellation. A prioritization of functional urology procedures is necessary to adapt management during the COVID-19 crisis and to better organize post-epidemic recovery.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b>
</p>
<p>The advice of AFU scientific committees in the field of functional urology (neuro-urology, female and perineology, male LUTS) was requested and supplemented by a review of the currently available recommendations on the subject of urology and COVID-19. These opinions were combined to draw up temporary recommendations to help reorganize practices during the epidemic and prepare the post-critical phase.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Most of the recommendations available on career-oriented social networks (Twitter, LinkedIn) or in literature concern cancer or general urology. Eight out of ten propose a cancellation of all functional urology procedures without distinction. But the 3 AFU committees covering the field of functional urology have identified three clinical situations in which surgical procedures that can be maintained during the COVID-19 epidemic (priority level A): conclusion of a neuromodulation test in progress (implantation or explantation), botulinum toxin A bladder injections for unbalanced neurologic bladder, cystectomy and ileal conduit for urinary fistula in perineal bedsore or refractory unbalanced neurologic bladder with acute renal failure and vesico-enteric or prostato-pubic fistulas. Management adaptation of the other pathologies are proposed, as well as the application of 3 priority levels (B, C, D) for rescheduled procedures for a better management of the post-crisis activity resumption.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The joint functional urology committees indicate that there are specific clinical situations in this field that demand non-delayed care during COVID crisis. They underline the need to establish a hierarchy for the cancelled surgeries, in order to reduce the arm of long reschedule delays and to optimize post-lockdown activity resumption.</p>
</div>
</front>
</TEI>
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<ArticleTitle>[French Association of Urology. COVID-19: Recommendations for functional urology].</ArticleTitle>
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<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The management of urology patient is currently disrupted by the COVID-19 epidemic. In the field of functional urology, there are clinical situations with a high risk of complication if management is delayed and a great heterogeneity of advisable reprogramming times after cancellation. A prioritization of functional urology procedures is necessary to adapt management during the COVID-19 crisis and to better organize post-epidemic recovery.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">The advice of AFU scientific committees in the field of functional urology (neuro-urology, female and perineology, male LUTS) was requested and supplemented by a review of the currently available recommendations on the subject of urology and COVID-19. These opinions were combined to draw up temporary recommendations to help reorganize practices during the epidemic and prepare the post-critical phase.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Most of the recommendations available on career-oriented social networks (Twitter, LinkedIn) or in literature concern cancer or general urology. Eight out of ten propose a cancellation of all functional urology procedures without distinction. But the 3 AFU committees covering the field of functional urology have identified three clinical situations in which surgical procedures that can be maintained during the COVID-19 epidemic (priority level A): conclusion of a neuromodulation test in progress (implantation or explantation), botulinum toxin A bladder injections for unbalanced neurologic bladder, cystectomy and ileal conduit for urinary fistula in perineal bedsore or refractory unbalanced neurologic bladder with acute renal failure and vesico-enteric or prostato-pubic fistulas. Management adaptation of the other pathologies are proposed, as well as the application of 3 priority levels (B, C, D) for rescheduled procedures for a better management of the post-crisis activity resumption.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The joint functional urology committees indicate that there are specific clinical situations in this field that demand non-delayed care during COVID crisis. They underline the need to establish a hierarchy for the cancelled surgeries, in order to reduce the arm of long reschedule delays and to optimize post-lockdown activity resumption.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Michel</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Service d'urologie et transplantation rénale, hôpital de la Conception, Aix-Marseille université, AP-HM, 147, boulevard Baille, 13005 Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gaillet</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Service d'urologie et transplantation rénale, hôpital de la Conception, Aix-Marseille université, AP-HM, 147, boulevard Baille, 13005 Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cornu</LastName>
<ForeName>J N</ForeName>
<Initials>JN</Initials>
<AffiliationInfo><Affiliation>Service d'urologie, CHU de Rouen Charles-Nicolle, Rouen, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Robert</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Service d'urologie, andrologie et transplantation rénale, hôpital Pellegrin Tripode, université de Bordeaux, CHU de Bordeaux, Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Game</LastName>
<ForeName>X</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Département d'urologie, transplantation rénale et andrologie, université Paul Sabatier, CHU Rangueil, Toulouse, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Phé</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Service d'urologie, hôpital universitaire La Pitié-Salpêtrière, Sorbonne université, AP-HP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Karsenty</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Service d'urologie et transplantation rénale, hôpital de la Conception, Aix-Marseille université, AP-HM, 147, boulevard Baille, 13005 Marseille, France. Electronic address: Gilles.karsenty@ap-hm.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>Comité de neuro-urologie-CUROPF-CTMH de l'AFU</CollectiveName>
</Author>
</AuthorList>
<Language>fre</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<VernacularTitle>Recommandations jointes des comités de l’AFU (neuro-urologie, CUROPF, CTMH) pour l’urologie fonctionnelle durant la crise sanitaire liée au COVID-19.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>04</Month>
<Day>20</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>France</Country>
<MedlineTA>Prog Urol</MedlineTA>
<NlmUniqueID>9307844</NlmUniqueID>
<ISSNLinking>1166-7087</ISSNLinking>
</MedlineJournalInfo>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017410" MajorTopicYN="Y">Practice Guidelines as Topic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014570" MajorTopicYN="N">Urologic Diseases</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013520" MajorTopicYN="N">Urologic Surgical Procedures</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014572" MajorTopicYN="N">Urology</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Benign prostatic hyperplasia</Keyword>
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Functional urology</Keyword>
<Keyword MajorTopicYN="N">Hyperactivité vésicale</Keyword>
<Keyword MajorTopicYN="N">Hyperplasie bénigne de la prostate</Keyword>
<Keyword MajorTopicYN="N">Incontinence urinaire</Keyword>
<Keyword MajorTopicYN="N">Male LUTS</Keyword>
<Keyword MajorTopicYN="N">Neurogenic bladder</Keyword>
<Keyword MajorTopicYN="N">Overactive bladder</Keyword>
<Keyword MajorTopicYN="N">Pelvic organ prolapse</Keyword>
<Keyword MajorTopicYN="N">Prolapsus des organes pelviens</Keyword>
<Keyword MajorTopicYN="N">Urinary incontinence</Keyword>
<Keyword MajorTopicYN="N">Urologie fonctionnelle</Keyword>
<Keyword MajorTopicYN="N">Vessie neurologique</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>04</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2020</Year>
<Month>04</Month>
<Day>08</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>04</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>5</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>7</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>5</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32418734</ArticleId>
<ArticleId IdType="pii">S1166-7087(20)30111-1</ArticleId>
<ArticleId IdType="doi">10.1016/j.purol.2020.04.007</ArticleId>
<ArticleId IdType="pmc">PMC7167583</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
</country>
<region><li>Aquitaine</li>
<li>Haute-Normandie</li>
<li>Midi-Pyrénées</li>
<li>Nouvelle-Aquitaine</li>
<li>Occitanie (région administrative)</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Région Normandie</li>
<li>Île-de-France</li>
</region>
<settlement><li>Bordeaux</li>
<li>Marseille</li>
<li>Paris</li>
<li>Rouen</li>
<li>Toulouse</li>
</settlement>
<orgName><li>Université Toulouse III - Paul Sabatier</li>
<li>Université d'Aix-Marseille</li>
<li>Université de Bordeaux</li>
</orgName>
</list>
<tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Michel, F" sort="Michel, F" uniqKey="Michel F" first="F" last="Michel">F. Michel</name>
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<name sortKey="Cornu, J N" sort="Cornu, J N" uniqKey="Cornu J" first="J N" last="Cornu">J N Cornu</name>
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<name sortKey="Game, X" sort="Game, X" uniqKey="Game X" first="X" last="Game">X. Game</name>
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<name sortKey="Robert, G" sort="Robert, G" uniqKey="Robert G" first="G" last="Robert">G. Robert</name>
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