Table 1. COVID-19 Contingency Plan for the Urology Department of Hospital de Clínicas de Porto Alegre.
Group | Group 1 Surgeries | Group 2 Surgeries | Group 3 Surgeries | Group 4 Surgeries |
---|---|---|---|---|
Definition | Urgent surgeries; surgeries with imminent risk of death or organ injury | High-risk oncology surgeries; others procedures with infections associated | Low-risk oncology surgeries; Stones with catheters | Other procedures without infections associated |
Examples | Obstructive pyelonephritis, renal abscess, acute urinary retention, Fournier gangrene, priapism, penile fracture, testicular torsion | Radical cystectomies, high-risk radical nephrectomy (T2 or higher), high-risk radical prostatectomy, orchiectomy, nephroureterectomy, lymph node dissections Pyeloplasty, urethroplasty, ureteral reimplant, and simple prostatectomy, in patients with recurrent urinary tract infection | Low-risk radical prostatectomy, low risk partial or radical nephrectomy (T1), prostate biopsies, transurethral bladder resection; Obstructive stones with double J stent or nephrostomies | Reconstructive, incontinence, pediatric, andrology, benign prostate hyperplasia and other procedures without recurrent urinary infection |
Plan | Should be operated | Should be operated as long as hospital beds and/or ICU are available | Should be operated during early phase* hospital contingency plan | Should be postponed |
Early phase defined by the hospital direction considering a combination of factors such as the number of COVID-19 patients and ICU occupation.