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. 2023 May;90(2):407-414.
doi: 10.1177/03915603221136321. Epub 2022 Nov 8.

Emergency Urology procedures during the COVID-19 pandemic in the UK: A 3-month prospective study

Marita Georgiou  1 , Adam Ridzuan-Allen  1 , Alaa Chamsin  1 , Zain Siddiqui  1 , Sotonye Tolofari  1 , Chidozie Ejikeme  1 , Richard Jones  1 , Timothy P Napier-Hemy  1 , Stefanos Rotas  1 , Kaylie E Hughes  1 , Altaf Q Khattak  1 , John E McCabe  1 , Ahmad M Omar  1 , Rahul Mistry  1 , Azizan Samsudin  1 , Hosea By Gana  1 , Michael S Floyd Jr  1
Affiliations

Emergency Urology procedures during the COVID-19 pandemic in the UK: A 3-month prospective study

Marita Georgiou et al. Urologia. 2023 May.

Abstract

Objective: COVID-19 resulted in Regional tiered restrictions being introduced across the UK with subsequent implications for planned and emergency surgical care. Specific to Merseyside, Tier 4, Tier 2 and Tier 5 restrictions were introduced in late 2020 and early 2021. The purpose of this study was to examine the nature and workload of emergency urological procedures during three different national lockdown Tiers in the North West of England.

Method: A 3-month prospective study examining all emergency urological activity was conducted from November 2020 when Tier 4 restrictions were introduced and included Tier 2 restrictions in December and then concluded at the end of January 2021 when Tier 5 restrictions were in place. Data was obtained by identifying patients using the electronic theatre listing system.

Results: A total of 71 emergency cases were performed (24 in November (Tier 4), 28 in December (Tier 2), 19 in January 2021 (Tier 5)) with 15 different types of procedures performed. The most frequently performed procedure was stent insertion (36), followed by scrotal exploration (10). The least commonly performed procedure was suprapubic catheter insertion under general anaesthesia (1). One patient required transfer to a different hospital. In total 6 calls were made by general surgery and 3 by gynaecology for urgent urological assistance in theatre. Three urology patients returned to the theatre as emergencies following elective procedures.

Conclusion: Unlike the Spring lockdown, acute urological presentations requiring operative intervention still presented daily. Of the 71 cases performed, most occurred in Tier 2. Stent insertion was the most commonly performed procedure, with the majority of the cases performed by registrars.

Keywords: COVID-19; emergency; pandemic; procedures; urology.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Volume of procedures performed during the three different Tiers (2020–2021).
Figure 2.
Figure 2.
All procedures performed during the three different Tiers (2020–2021).
Figure 3.
Figure 3.
Grade of operator.
See this image and copyright information in PMC

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