Research Article

Impact of COVID-19 outbreak on urology practice in India

Mahendra Singh*, Himanshu Pandey, Prateek Gupta, Gautam Ram Choudhary, Vipin Tyagi, Vijay Kumar Sarma Madduri and Nikita Shrivastava

Published: 18 June, 2021 | Volume 5 - Issue 1 | Pages: 011-019

Background: The rapid spread of “Coronavirus Disease 2019’ (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus-type 2 (SARS-CoV-2) significantly impacted health care facilities all across the globe. To assess impact on urology practice in our country, we developed a questionnaire based on relevant questions in current scenario for information regarding challenges and changes urologists were facing in their practices.

Material and methods: We conducted an online survey to find out the impact of COVID-19 on urology practice in Indian scenario. The questionnaire comprised of total 18 questions, which were relevant to day to day practice.

Results: Total 310 urologists across the India participated and consented to being part of the study. The majority admits change in their practice due to the recent COVID-19 outbreak. The majority admitted to attend fixed numbers of patients per day with prior appointment and to keep detailed records. The majority responded in positive that attendees will not be allowed, opted to wear N-95 mask in OPD, opted to take the relevant history, opted for thermal screening, opted for patients to wear a mask before entering OPD room, opted for using the new prescription at new visit and opted to avoid physical examination unless very necessary. The majority wanted to take consent from the patients that they may get infected by COVID-19 in the hospital and agreed on performing COVID-19 testing for every patient posted for surgery. The majority agreed to assign a separate operation theatre to operate patients with positive COVID-19 test and also preferred open surgery over minimal invasive surgery.

Conclusion: Our survey revealed that the recent pandemic led to significant impacts on urology practice in our country. The urologists working in different setups are facing different challenges in this difficult condition. They have made certain changes in their practice to safely provide effective care to their patients.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001059 Cite this Article Read Full Article PDF


COVID-19; Urology; Survey; Practice pattern



  1. Zhang G, Zhang J, Wang B, Zhu X, Wang Q, et al. Analysis of clinical characteristics and laboratory findings of 95 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a retrospective analysis. Respir Res. 2020; 21: 74. PubMed: https://pubmed.ncbi.nlm.nih.gov/32216803/
  2. Feng W, Zong W, Wang F, Ju S. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): a review. Mol Cancer. 2020; 19: 100. PubMed: https://pubmed.ncbi.nlm.nih.gov/32487159/
  3. Devana SK, Chaudhary K, Sharma AP, Singh SK. Changing urological practice during COVID-19. Indian J Urol 2020; 36: 153-158. PubMed: https://pubmed.ncbi.nlm.nih.gov/33082628/
  4. Gravas S, Bolton D, Gomez R, Klotz L, Kulkarni S, et al. Impact of COVID-19 on Urology Practice: A Global Perspective and Snapshot Analysis. J Clin Med. 2020; 9:E1730. PubMed: https://pubmed.ncbi.nlm.nih.gov/32503305/
  5. Teoh JY, Ong WLK, Gonzalez-Padilla D, Castellani D, Dubin JM, et al. A Global Survey on the Impact of COVID-19 on Urological Services. Eur Urol. 2020; 78: 265-275.. PubMed: https://pubmed.ncbi.nlm.nih.gov/32507625/
  6. Goel A. Urology in India: Numbers and practice. Indian J Urol. 2019; 35: 245-247. PubMed: https://pubmed.ncbi.nlm.nih.gov/31619860/
  7. Sengupta S, Honavar SG, Sachdev MS, Sharma N, Kumar A, et al. All India Ophthalmological Society - Indian Journal of Ophthalmology consensus statement on preferred practices during the COVID-19 pandemic. Indian J Ophthalmol. 2020; 68: 711-724. PubMed: https://pubmed.ncbi.nlm.nih.gov/32317433/
  8. Huang C, Wang Y, Li X, Ren L, Zhao J, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395: 497-506. PubMed: https://pubmed.ncbi.nlm.nih.gov/31986264/
  9. Hur J, Chang MC. Usefulness of an Online Preliminary Questionnaire under the COVID-19 Pandemic. J Med Syst. 2020; 44: 116. PubMed: https://pubmed.ncbi.nlm.nih.gov/32430783/ 
  10. Kratzel A, Todt D, V'kovski P, Steiner S, Gultom M, et al. Inactivation of Severe Acute Respiratory Syndrome Coronavirus 2 by WHO-Recommended Hand Rub Formulations and Alcohols. Emerg Infect Dis. 2020; 26: 1592-1595. PubMed: https://pubmed.ncbi.nlm.nih.gov/32284092/
  11. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020 55: 105924. PubMed: https://pubmed.ncbi.nlm.nih.gov/32081636/
  12. Kampf G, Todt, D, Pfaender, S, Steinmann, E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020; 104: 246–251. PubMed: https://pubmed.ncbi.nlm.nih.gov/32035997/
  13. Xu Y, Li X, Zhu B, Liang H, Fang C, et al. Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding. Nat Med. 2020; 26: 502–505. PubMed: https://pubmed.ncbi.nlm.nih.gov/32284613/
  14. Smith JD, MacDougall CC, Johnstone J, Copes RA, Schwartz B, et al. Effectiveness of N95 respirators versus surgical masks in protecting health care workers from acute respiratory infection: a systematic review and meta-analysis. CMAJ. 2016; 188: 567-574. PubMed: https://pubmed.ncbi.nlm.nih.gov/26952529/
  15. Agrawal H, Singh S, Gupta N. What All We Should Know about Masks in COVID-19 Pandemic [published online ahead of print, 2020 Jun 9]. Indian J Surg. 2020; 1-2. PubMed: https://pubmed.ncbi.nlm.nih.gov/32837071/
  16. Bhattacharya N, Bhattacharya K. Informed Consent for Surgery during COVID-19. Indian J Surg. 2020; 1-3. PubMed: https://pubmed.ncbi.nlm.nih.gov/32390694/
  17. Nowroozi A, Amini E. Urology practice in the time of COVID-19. Urol J. 2020; 17: 326. Nowroozi A, Amini E. Urology practice in the time of COVID-19. Urol J. 2020; 17: 326.
  18. Malhotra N, Bajwa SJ, Joshi M, Mehdiratta L, Trikha A. COVID Operation Theatre‑ Advisory and Position Statement of Indian Society of Anaesthesiologists (ISA National). Indian J Anaesth. 2020; 64: 355-362. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286404/
  19. Mouton C, Hirschmann MT, Ollivier M, Seil R, Menetrey J. COVID-19 - ESSKA guidelines and recommendations for resuming elective surgery. J Exp Orthop. 2020; 7: 28. PubMed: https://pubmed.ncbi.nlm.nih.gov/32405872/
  20. Jiang M, Chen P, Li T, Tang Y, Chen X, et al. Chest CT imaging features and clinical outcome of coronavirus disease 2019 (COVID-19): A single-center case study in Ningbo, China. Clin Imaging. 2020; 69: 27-32. PubMed: https://pubmed.ncbi.nlm.nih.gov/32652454/
  21. Xie X, Zhong Z, Zhao W, Zheng C, Wang F, et al. Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing. Radiology. 2020; 296: E41-E45. PubMed: https://pubmed.ncbi.nlm.nih.gov/32049601/
  22. Condon B, Whish-Wilson T, Davis NF, Lawrentschuk N. Implications of COVID-19 on urological laparoscopic surgery. Future Oncol. 2020; 16: 1941-1945. PubMed: https://pubmed.ncbi.nlm.nih.gov/32597203/
  23. Moletta L, Pierobon ES, Capovilla G, Costantini M, Salvador R, et al. International guidelines and recommendations for surgery during Covid-19 pandemic: A Systematic Review. Int J Surg. 2020; 79: 180-188. PubMed: https://pubmed.ncbi.nlm.nih.gov/32454253/
  24. Horstmann M, Horton K, Kurz M, Padevit C, John H. Prospective comparison between the AirSeal® System valve-less Trocar and a standard Versaport™ Plus V2 Trocar in robotic-assisted radical prostatectomy. J Endourol. 2013; 27: 579-582. PubMed: https://pubmed.ncbi.nlm.nih.gov/23186377/
  25. Vigneswaran Y, Prachand VN, Posner MC, Matthews JB, Hussain M. What Is the Appropriate Use of Laparoscopy over Open Procedures in the Current COVID-19 Climate? J Gastrointest Surg. 2020; 24: 1686-1691. PubMed: https://pubmed.ncbi.nlm.nih.gov/32285338/
  26. Sureka B, Sinha A, Tak V, Garg MK, Bhatia PK, et al. Customized personal protective equipment (PPE): Solution to conservation and management of supplies during the coronavirus disease 2019 (COVID-19) pandemic. J Family Med Prim Care. 2020; 9: 2180-2182. PubMed: https://pubmed.ncbi.nlm.nih.gov/32754469/
  27. Lai X, Wang M, Qin C, Tan L, Ran L, et al. Coronavirus Disease 2019 (COVID-2019) Infection Among Health Care Workers and Implications for Prevention Measures in a Tertiary Hospital in Wuhan, China. JAMA Netw Open. 2020; 3: e209666. PubMed: https://pubmed.ncbi.nlm.nih.gov/32437575/
  28. Nagpal N. Emerging Medico-legal Issues Novel to COVID Era. J Digest Endosc. 2020; 11: 87-88. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295274/
  29. Khullar D, Bond AM, Schpero WL. COVID-19 and the Financial Health of US Hospitals. JAMA. 2020; 323: 2127–2128. PubMed: https://pubmed.ncbi.nlm.nih.gov/32364565/


Figure 1

Figure 1

Figure 1

Figure 2

Similar Articles

  • Impact of COVID-19 outbreak on urology practice in India
    Mahendra Singh*, Himanshu Pandey, Prateek Gupta, Gautam Ram Choudhary, Vipin Tyagi, Vijay Kumar Sarma Madduri and Nikita Shrivastava Mahendra Singh*,Himanshu Pandey,Prateek Gupta,Gautam Ram Choudhary,Vipin Tyagi,Vijay Kumar Sarma Madduri,Nikita Shrivastava. Impact of COVID-19 outbreak on urology practice in India. . 2021 doi: 10.29328/journal.ascr.1001059; 5: 011-019

Recently Viewed

Read More

Most Viewed

Read More