Abstract:
Objective: Coronavirus disease firstly discovered in December 2019,
has caused many changes in patient management in the hospital, including in
urology department. Several studies have demonstrated an increased rate of
delayed care, with urology surgery having a delay of more than 8 weeks (Amota,
O. et al., 2020). The medical workers are trying to reduce the spread rate by
reducing of transmission (Amota, O. et al., 2020; & Sanyaolu, A. et al., 2020).
The spread of this infectious disease is continuously increasing, hence the
declaration of a pandemic (Cucinotta D). The COVID-19 status in the Solo city
was updated to the red zone since the first year of the pandemic which makes the
author interested in sharing information about COVID-19 in urology inpatients in
the isolation ward (Tanggap Covid 19 Jawa Tengah, 2020). Materials and
Methods: This study is a retrospective descriptive study that used secondary
medical records data to determine the profile of urology patients in the COVID-19
isolation ward in dr. Moewardi General Hospital Surakarta for 1 year from May
2020 – June 2021. Results: This study found the urology patients in the COVID-
19 ward were 26 patients, which was 4% of the total urology inpatients in the dr.
Moewardi General Hospital in the first year of pandemic. Male patients consisted
85% of the total patients, with a mean age of over 50 years. The most frequent
diagnosis was urinary retention. The mean duration of hospitalization was 2
weeks. The management in ward were urinary catheter insertion, closed
cystostomy, prostate biopsy with local anesthesia, and emergency debridement
surgery in isolated operating room. Delayed diagnostic procedures consisted of
USG and BNO, while the delayed elective surgery consisted of cystoscopy,
nephrectomy, direct visual urethrotomy (DVIU), and DJ stent insertion.
Conclusions: The urology inpatients in the COVID-19 ward treated by multiple
departments, in which the treatment of COVID-19 was prioritized before the
definitive management from the urology department.
