• José Medina-Polo, Julio Téigell Tobar, Javier Romero-Otero, Joaquín Carballido-Rodríguez, Mario Domínguez-Esteban, María Lourdes Martínez-Berganza, Bernardino Miñana-López, Jesús Miguel Unda Urzaiz, and Alfredo Rodríguez-Antolín.
• Servicio de Urología. Hospital Universitario 12 de Octubre. Instituto de Investigación i+12 (imas12). Madrid. España. Servicio de Urología. Hospital Universitario HM Montepríncipe. Boadilla del Monte. Madrid. España.
• Arch. Esp. Urol. 2020 Jun 1; 73 (5): 405-412.

ObjectivesThe pandemic caused by the new SARS / Cov-2 Coronavirus represents an unprecedented scenario in modern medicine that affects many aspects of daily healthcare. Lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) has a high prevalence and is related to high consumption of health resources. For this reason, we performed a revision of the management of LUTS and HBP during and after COVID-19 pandemic.Material And MethodsA group of experts in benign prostatic hyperplasia from different regions of Spain were selected to design a strategy to reorganize the management of benign prostatic hyperplasia and lower urinary tract symptoms during the pandemic. A comprehensive review of the literature was undertaken and a set of recommendations are generated.ResultsRecommendations for the management of LUTS-BPH during and after the SARS/CoV2 coronavirus pandemic outbreak consist of promoting telemedicine and developing joint protocols with Primary Care Attention .Clear diagnostic and treatment criteria and referral criteria must be established. Referral of patients for risk complications such as kidney failure, recurrent hematuria and obstructive uropathy are a priority. Surgeries due to BPH are generally potentially delayed until phases I and II of the pandemic, in which the percentage of hospitalized patients with COVID-19 does not exceed 25%, and it is necessary to determine COVID19 negativity. The surgical technique that associates the least complications and the shortest stay should be selected.ConclusionsThe diagnosis and prescription of treatment for BPH during the COVID-19 pandemic should be based on telemedicine and joint protocols for primary care attention and urology. Elective surgical treatment can be delayed until we are in phases I or II, individualizing the surgical and anaesthetic technique of choice to minimize risks.

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