Profile of Urology Patients at the Covid-19 Isolation Ward in Dr. Moewardi General Hospital Surakarta Periode June 2020 – May 2021 (A Retrospective Descriptive Study)

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;and 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.