Table 3. Summary of RUN group recommendations for urological conditions during Sars-CoV-2 era ( 4 ).
| RUN Group | Urgent | Upper urinary tract obstruction/infection | Nephrostomy/stent (preferable under local anaesthesia) |
| Acute urinary retention | Urethral/suprapubic catheter | ||
| Clot retention | Cystoscopic clot evacuation - TURB/TURP | ||
| Spermatic cord torsion | Manual derotation/surgery | ||
| Infection of artificial sphincter/prothesis | Explant | ||
| Scrotal abscess | Drainage | ||
| Fournier's gangrene | Surgery | ||
| Priapism | Corpora cavernosa aspiration/irrigation or Shunt (preferable under local anaesthesia) | ||
| Non-deferrable | MIBC / refractory CIS | Radical cystectomy + Urinary diversion (high virus load in stool) | |
| NMIBC(>2cm/high grade) | TURB + intravesical therapy | ||
| Testicular cancer | Radical orchiectomy | ||
| Post-CHT retroperitoneal residual LN | Surgery | ||
| cT3-T4 renal tumor | Radical nephrectomy ± thrombectomy | ||
| cT2 | Radical/partial nephrectomy | ||
| High grade >cT1 upper urinary tract urothelial cancer | Nephrouretectomy + LN dissection | ||
| High-risk/locally advance PCa unsuitable for RT or ADT | Radical prostatectomy + LN dissection | ||
| >cT1G3 penile cancer | Partial penectomy ± groin LN dissection | ||
| Semi-non-deferrable | PCa intermediate/high-risk | Radical prostatectomy | |
| NMIBC (<2cm/low grade) | TURB | ||
| cT1b renal tumor | Radical nephrectomy | ||
| Deferrable | cT1a renal tumor | Partial nephrectomy | |
| Uncomplicated urinary stones | Medical therapy | ||
| BPH with LUTS | Medical therapy | ||
| Urinary incontinence | Medical therapy | ||
| Genitourinary prolapse | Medical therapy | ||
| Male urethral disease | Medical therapy | ||
| Prosthetic surgery | Medical therapy | ||
| Infertility | Medical therapy | ||
| Suspected PCa | Postpone prostate biopsy | ||
| NMIBC follow-up | Postpone flexible cystoscopy | ||
| Ureteral stent or Nephrostomy tube | Postpone replacement up to 6 months | ||
| Low-grade NMIBC | Postpone intravesical therapy | ||
| Replaceable with other treatments | High-risk/locally advanced PCa | RT or ADT (if cannot receive timely curative treatments) | |
| Small renal tumor | Ablative treatment not requiring general anaesthesia | ||
| Testicular cancer + retroperitoneal LN | RT or CHT |
TURB = trans-urethral resection of bladder; TURP = trans-urethral resection of prostate; MIBC = muscle-invasive bladder cancer; NMIBC = non-muscle-invasive bladder cancer; CHT = chemotherapy; PCa = prostate cancer; BPH = benign prostate hyperplasya; LUTS = lower urinary tract symptoms; RT = radiation therapy; ADT = andogen deprivation therapy; LN = lymphnodes