Recommendations for Urological cancers During COVID19 Pandemic
We are all
immersed with COVID19 as to Doâ€™s and Donâ€™ts Concerning Urological Disorders.
AUA and few other organizations have produced Guidelines concerning this and
these have been circulated and discussed in the two Webinars organized by USI.
for Urological Disorders is classified into three categories namely Delayed,
Not so delayed and Emergency.
Cancers, as are many diseases, do not wait for COVID19 to abate. These patients
with or without COVID19 surfaces for treatment and it is our duty to adequately
treat them irrespective of the Pandemic.
informed that certain procedures can be accepted for certain cancers depending
on the stage of Presentation. I am providing an article with a table incorporated
below on the recommendations to be followed regarding â€˜Systemic Therapy in Patients with Urological Cancers during
the COVID19 Pandemicâ€™.
over, with India no exception of late, we have become relatively obsessed
regarding Prostate Cancer and give considerable attention concerning P Ca
during the various stages of presentation. We as Urologists favour Radical
Prostatectomy (now the preference is Robotic RP) as against other forms of
treatment. A Radiation Oncologist will suggest RT in various avatars as against
RP which we as Urologists cannot accept. We talk about the various toxicities
associated with RT while the radiation Oncologists talk about the profound
adverse events associated with RP. Recent articles on RT for P ca suggest that
the long term results with RT is more or less same or even better when compared
to RP. There are now some who mention that in most cases of P Ca, irrespective
of stage, the appropriate definitive Treatments can be postponed by administration
of ADT in the interim period.
article I am providing is addressing the guidelines to be followed as regards
RT in the era of COVID19.
peruse through the Guideline, many aspects mentioned can be accepted by
Urologists as well in this era of COVID19 concerning treatment for P Ca.
Additionally, I am providing an Interview by Helen Moon with Samantha Kumar Pal and Sumeet K Bhanwadia on â€˜Early Stage Operable RCC in Covid19 Era.
I am providing the table attached to the first two articles
which will explains to what are being highlighted in the articles.