Design of an assistance protocol for the restart of scheduled urologic surgery in a COVID-19 epidemic period

Actas Urol Esp (Engl Ed). 2020 Nov;44(9):597-603. doi: 10.1016/j.acuro.2020.05.006. Epub 2020 Jun 23.
[Article in English, Spanish]


Objective: Design a care protocol to restart scheduled surgical activity in a Urology service of a third level hospital in the Community of Madrid, in a safe way for our patients and professionals in the context of the SARS-CoV-2 coronavirus epidemic.

Material and methods: A multidisciplinary group reviewed the different recommendations of the literature, national and international health organizations and scientific societies, as well as their application to our environment. Once scheduled surgery has restarted, the patients undergoing surgery for complications related to COVID-19 are being followed up.

Results: Since the resumption of surgical activity, 19 patients have been scheduled, of which 2 have been suspended for presenting COVID-19, one diagnosed by positive PCR for SARS-CoV-2, and another by laboratory and imaging findings compatible with this infection. With a median follow-up of 10 days (4-14 days), no complications related to COVID-19 were detected.

Conclusions: Preliminary results indicate that the protocol designed to ensure the correct application of preventive measures against the transmission of coronavirus infection is being safe and effective.

Keywords: COVID-19; Cirugía Urológica; Complicaciones quirúrgicas; Coronavirus; SARS-CoV-2; Surgical complications; Urologic Surgery; Urology; Urología.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Betacoronavirus*
  • COVID-19
  • COVID-19 Testing
  • Clinical Laboratory Techniques / statistics & numerical data
  • Clinical Protocols
  • Consensus*
  • Coronavirus Infections / complications
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Female
  • Follow-Up Studies
  • Hospitals, University
  • Humans
  • Male
  • Middle Aged
  • Pandemics / prevention & control
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Polymerase Chain Reaction
  • Prospective Studies
  • SARS-CoV-2
  • Spain / epidemiology
  • Tertiary Care Centers
  • Time Factors
  • Urologic Neoplasms / surgery
  • Urologic Surgical Procedures / statistics & numerical data*
  • Urology / organization & administration*