• European urology focus · Sep 2020

    A Snapshot from the Department of Urology in Bergamo Evaluating the Timeline of the SARS-CoV-2 Outbreak: Which Patients Are We Missing?

    • Marco Roscigno, Richard Naspro, Antonio Piccichè, Fabio Muttin, Diego Angiolilli, Gianfranco Deiana, Fabio Pezzoli, and Luigi F Da Pozzo.
    • Department of Urology, ASST Papa Giovanni XXIII, Bergamo, Italy. Electronic address: roscigno.marco@gmail.com.
    • Eur Urol Focus. 2020 Sep 15; 6 (5): 1120-1123.

    The province of Bergamo in Italy and in particular Papa Giovanni XXIII Hospital was one of the first areas to be hit by the SARS-CoV-2 outbreak and experience firsthand all the different phases of the crisis. We describe the timeline of the changes in overall urological workload during the outbreak period from lockdown to the slow reopening of activities. We sought to compare the 2020 hospital scenario with normality in the same period in 2019, highlighting the rationale behind decision-making when guidelines were not yet available. While we focus on the changes in surgical volumes for both elective (oncological and noncancer) and urgent cases, we have still to confront the risk of untreated and underdiagnosed patients. PATIENT SummaryWe present a snapshot of changes in urology during the peak of the COVID-19 outbreak in our hospital in Bergamo, Italy. The effect of medical lockdown on outcomes for untreated or underdiagnosed patients is still unknown.Copyright © 2020 European Association of Urology. Published by Elsevier B.V. All rights reserved.

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