• Mehmet Çağlar Çakıcı, Mustafa Zafer Temiz, Ayberk İplikçi, Faruk Özgör, Alper Kerem Aksoy, Murat Özer, Selçuk Erdem, İsmail Ulus, Eyüp Veli Küçük, Alper Ötünçtemur, Enes Değirmenci, Reşat Aydın, Gökhan Atış, Ahmet Yaser Müslümanoğlu, Ömer Sarılar, Faruk Özcan, and Asıf Yıldırım.
• Department of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, İstanbul, Turkey
• Turk J Med Sci. 2021 Jun 28; 51 (3): 962-971.

Background/AimThe aim of this paper was to determine the general tendencies of urology patients and effect of COVID-19 pandemic on daily urological practice at tertiary centers located in the most affected area in Turkey.Materials And MethodsWe retrospectively analyzed the data of 39,677 patients (group 1) that applied to 6 different large-volume tertiary centers in İstanbul for outpatient consultation, surgery, or other procedures in the 3-month period between March 16 and June 14, 2020. The distribution of the number of patients who applied to subspecialty sections of urology outpatient clinics and inpatient services were recorded by weeks. That data was compared to data obtained from 145,247 patients that applied to the same centers in the same period of the previous year (group 2). The reflection of worldwide and Turkish COVID-19 case distribution on the daily urological practice was analyzed.ResultsThere was a decrease in the number of patients in all subspecialty sections the in group 1 compared to group 2; however, there was a significant proportional increase in urooncology and general urology admissions. A decrease of approximately 75% was observed in the total number of surgeries (p < 0.001). We detected a negative correlation between the numbers of admission to all outpatient clinics and COVID-19 cases or deaths in Turkey (p < 0.05). The same negative correlation was present for all surgical procedures and consultations (p < 0.05). The multivariate linear regression analysis revealed that the number of cases in Turkey, and the number of deaths worldwide affect the number of outpatient clinic admissions (R2 = 0.38, p = 0.028) and urological surgery (R2 = 0.33, p = 0.020) in Turkey negatively.ConclusionThis novel pandemic has implications even for urology practice. Urological surgical procedures were more affected by COVID-19-related deaths in Turkey and worldwide. Outpatient admissions and urological surgeries decreased significantly by increasing COVID-19 case numbers in Turkey and worldwide deaths.This work is licensed under a Creative Commons Attribution 4.0 International License.

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