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COVID-19 in Urologic Aspect: Q&A

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Soarawee Weerasopone, MD

Minimally Invasive Uro-Oncologist
Royal Phnom Penh hospital, Kingdom of Cambodia

During this period of time, I think ain’t body don’t know the COVID-19 or SARS-COV-2. The novel pandemic of the respiratory infection which is originated contagious virus from Wuhan, Mainland China. There have been many patients asked me that; does this virus impact urinary tract system? Well, let’s take a look together in Q&A (Updated April 29, 2020)

  • Can the virus attack our urinary tract system?

Answer Yes, it can! Due to SARS-COV-2 attack the human receptor named Angiotensin-converting enzyme type 2 (ACE2) which located at lung, heart, esophagus, ileum, urinary bladder and kidney.

  • What symptoms after urinary tract system have been infected?

Answer It’s been caused probably from mild to severe acute kidney injury. Protein or blood in urine can be detected. Remarkably, kidney involvement during SARS-COV-2 infection will significantly increasing mortality rate.

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Better wear mask when go outside
  • Can SARS-COV-2 be detected in urine or semen?

Answer After several PUBMED’s literatures appraisal, the SARS-COV-2 very little to detect in urine and there’s no evidence of viral loaded in semen. This is proving that the SARS-COV-2 cannot transmit through sexual activities. (But you still need to keep the Social Distancing during this activity, Surprise??)

  • Can SARS-COV-2 will cause the UTI?

Answer No any evidence that it capable to transmit through the urine.

  • Can we go on routine urologic procedure?

Answer Due to SARS-COV-2 is a novel virus with very limited data on transmission as we have learned. Then if there have been benign urological surgeries came up during this period of time it better to postpone until this kind of pandemic over. It will prioritize if there’s emergency and life-threatening oncologic conditions occurred. And it is possible to get it done with a strictly preoperative screening if there is a suspected on the SARS-COV-2 patient.

In my opinion, there have been not only global health care systems that being challenged during this pandemic. But both global economic and supply chain as well as a lifestyle will be challenging and impacting. I do hope that people around the world will be stayed safely from the SARS-COV-2. All right! So please stay safe you guys!

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