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Due to COVID-19 outbreak, the Belgian Association of Urology recommended limiting non-emergency surgical care The aim of this study was to analyze if a preoperative screening for COVID-19 was key to select optimal operative candidates and its impact on surgical outcomes MATERIAL AND METHODS: we present a retrospective analysis of all consecutive patients who underwent oncological high-risk and emergency urological surgeries in a Belgium tertiary center from March 30 to April 30, 2020 The screening protocol was based on clinical assessment and chest-CT to identify COVID-19-positive patients RESULTS: a total of 32 patients underwent elective oncologic (n = 17;53 %) and emergency (n = 15;47 %) operations Screening by chest-CT revealed three cases of COVID-19 (9 %) having led to postpone two interventions The third positive COVID-19 patient died of respiratory complications after bladder perforation urgent procedure Two patients developed compatible post-operatively symptoms with one positive chest-CT but no positive RT-PCR and successful recovery Adapted safety measures were followed to mitigate in-hospital transmission CONCLUSION: this report suggests feasibility and efficacy of systematic, preoperative screening for COVID-19 by chest computed tomography only This strategy could allow to perform the majority of scheduled high-risk oncologic interventions safely for both the patients and the surgical staff
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[Systematic preoperative SARS-CoV-2 screening by chest CT before urological surgery]
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