David Manzano-Sánchez, Manuel Gómez-López
Personal and Social Responsibility Model: Differences According to Educational Stage in Motivation, Basic Psychological Needs, Satisfaction, and Responsibility
Children (Basel, Switzerland)
severe acute respiratory syndrome coronavirus 2 sarscov2 pandemic management patients lower urinary tract symptoms luts underwent dynamic adjustments response evolving understanding viruss impact different patient populations healthcare practitioners reevaluated therapeutic approaches conditions like benign prostatic hyperplasia bph considering potential implications condition severity progression coronavirus disease 2019 covid19 study aims investigate potential correlations sarscov2 infection severity exacerbation luts bph progression retrospective study includes patients hospitalized urology department january 2021 january 2023 presenting sarscov2 bph ages ranged 57 88 years mean age 654 years diagnosis bph relied diagnostic triad consisting digital rectal examination biological markers including prostatespecific antigen psa free psa ultrasound examination conditions confirmed based test results transurethral resection prostate turp procedures utilized monopolar karl storz resection equipment using sorbitol bipolar olympus devices transurethral resection prostate saline turpis haemostasia performed using roller balls anticoagulation followed prescribed scheme cardiologists infectious disease specialists statistical analysis conducted using ibm corp released 2013 ibm spss statistics windows version 220 armonk ny ibm corp among 138 hospitalized patients affected bph covid19 18 required emergency endoscopic procedures specifically turp turpis achieve hemostasis figures 1 2 individuals presented persistent hematuria despite conservative treatments mean duration surgery 579 minutes patients underwent surgery longer average hospital stay compared durations 105 days versus 75 days respectively additionally urethrovesical catheter insertion necessary 29 cases due acute urinary retention worsening voiding symptoms hospitalization patients scheduled urological evaluation following resolution covid19 episode cohort 53 patients data accessible comparisons made precovid status levels international prostate symptom score ipss postvoiding residue pvr quality life qol findings revealed mean precovid ipss value 116 covidrelated value 142 statistically significant difference noted p 005 mean precovid pvr 423 cm2 whereas covid19 period measured 625 cm2 also exhibiting significant difference p 005 additionally qol showed mean precovid19 score 24 covid19associated score 29 demonstrating statistical significance p 005 onset sarscov2 pandemic posed novel challenges medical realm impacting approach bph management common practice delaying treatment chronic bph viral infection remission reduce associated risks additionally study revealed worse evolution luts among individuals severe covid19 symptoms