Table 2.

Summary of EAU [2], BAUS [5], [6], [7], [8], [9], [10], and USANZ [4] guideline recommendations for prioritisation of oncological urological procedures^a, ^b.

	EAU guidelines priority (1)	BAUS guidelines Stages (2)	USANZ guidelines Urgent intervention (3)
TUR of bladder tumour	From low to high based on haematuria and risk group	2 (low risk) 3 (high risk)	High-risk group
Radical cystectomy	Intermediate	2 (low risk) 3 (high risk)	Urgent (ideally prior neoadjuvant chemotherapy and delay in surgery after discussion with medical oncologists)
Nephroureterectomy	High for high-risk patients	2 (low risk) 3 (high risk)	Urgent (consider neoadjuvant chemotherapy)
Prostatic biopsy	From low to high based on risk for PCa	1 (GA transperineal) 2 (LA transperineal for high PSA)	Only for suspicious prostate lesions or PIRADS 4/5 on prior MRI
Radical prostatectomy (localised PCa)	Intermediate but can be postponed until after pandemic	Defer new patients 2 (RARPs)	Only for a proportion of high-risk PCa patients
Radical/partial nephrectomy	From low to high based on clinical stage	1 (partial) 3 (time sensitive)	For large RCCs >7 cm, or complicated with venous thrombus
Radical orchidectomy/penectomy	Emergency	3	Urgent
RPLND	High	Defer and offer chemotherapy	Urgent (deferral if suggestive of slowly growing mature teratoma)

ACS = American College of Surgeons; BAUS = British Association of Urological Surgeons; EAU = European Association of Urology; GA = general anaesthetic; LA = local anaesthetic; MRI = magnetic resonance imaging; PCa = prostate cancer; PIRADS = Prostate Imaging Reporting and Data System; PSA = prostate-specific antigen; RARP = robot-assisted radical prostatectomy; RCC = renal cell carcinoma; RPLND = retroperitoneal lymph node dissection; TUR = transurethral resection; USANZ = Urological Society of Australia and New Zealand.

^aACS guidelines are not included because they did not refer to specific procedures.

^b1—EAU priorities: low, clinical harm very unlikely if postponed for 6 mo; intermediate, not recommended to postpone for >3 mo; high, the last to cancel, prevent delay of >6 wk; emergency, cannot be postponed for >24 h. 2—BAUS stages: 1, first cancellations; 2, secondary cancellations; 3, last to be cancelled; 4, emergency cases only. 3—USANZ priorities: conditions that may warrant urgent surgical intervention; conditions not proposed were considered deferrable.