Operative Urological Emergency a Pre-covid and Peri-covid19 Brief Comparison

Abstract

Objective:  The goal of this study is to compare the number of operative urological emergencies in pre-covid and peri-covid 19 pandemics, as well as the pattern of operative urological emergencies in pre-covid and peri-covid 19 pandemics.

Methodology:  Retrospective study was conducted in the urology department of the Medical Teaching Institute at Lady Reading hospital Peshawar. All pre-covid and peri-covid operative urological emergency procedures performed between July 18, 2019 and February 25, 2020 (pre-covid) and February 26, 2020 to September 25, 2020 (peri-covid). Total numbers of 73 patients were operated as urological emergency.  Mean patient age was 38 years (range 15 to 70) and male to female ratio was 5:1.

Results:  Twenty six patients were operated in the pre-covid timings having 18 males and 08 female patients, mean age 36±13 years. Forty seven patients were operated in the peri-covid time (38 males and 09 females) having age of 40±14 years. T test was applied, and no statistical significance was observed in both durations. A total of 36% emergency cases were operated in the pre-covid times whereas 64% of patients were operated in the peri-covid timings. Chi square test of independence revealed no statistical significance (N=73) =15, p=0.109. No difference in emergency pattern was observed except obstructive-uropathy. Obstructive uropathy was treated in 27% of patients during the precovid period, while 73% were treated during the pericovid period (p = 0.375).

 Conclusion: Covid has no impact on the number and pattern of operative urological emergency.