Clinical pearls to managing men’s health conditions during the COVID-19 pandemic

Witherspoon, Luke; Fitzpatrick, Ryan; Patel, Premal; Flannigan, Ryan; Roberts, Matthew; Krakowsky, Yonah; Campbell, Jeffrey; Grantmyre, John; Brock, Gerald; Goldenberg, S. Larry; Jarvi, Keith

doi:10.5489/cuaj.6631

Cited by 18 publications

(22 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, hormone profiles and genetic testing can be ordered based on history and semen analysis results. This approach has been suggested by a group of Canadian male fertility specialists who found it a useful strategy initiating the infertility evaluation process and maximizing the benefit of eventual in-person evaluation ( 16 ). Even without laboratory diagnostics available, a complete video exam can provide important information in the evaluation of the infertile male.…”

Section: The Video Examinationmentioning

confidence: 99%

Clinical implications of telemedicine for providers and patients

Berg

Goldstein

Melnick

et al. 2020

Fertility and Sterility

View full text Add to dashboard Cite

The coronavirus disease 2019 (COVID-19) pandemic has resulted in paradigm shifts in the delivery of health care. Lockdowns, quarantines, and local mandates forced many physician practices around the United States to move to remote patient visits and adoption of telemedicine. This has several long-term implications in the future practice of medicine. In this review we outline different models of integrating telemedicine into both male and female fertility practices and recommendations on performing video physical examinations. Moving forward we foresee two general models of integration: one conservative, where initial intake and follow-up is performed remotely, and a second model where most visits are performed via video and patients are only seen preoperatively if necessary. We also discuss the impact THAT telemedicine has on coding and billing and our experience with patient satisfaction.

show abstract

Section: The Video Examinationmentioning

confidence: 99%

Clinical implications of telemedicine for providers and patients

Berg

Goldstein

Melnick

et al. 2020

Fertility and Sterility

View full text Add to dashboard Cite

show abstract

“…Considering the safety of laboratory staff and lack of information concerning sexual transmission, comprehensive semen analyses were not investigated. Some studies directed the analysis of semen parameters in affected patients, but larger studies are needed to elucidate the effect of the virus on semen parameters [ 5 ]. Furthermore, soon after the declaration of the SARS-CoV-2 pandemic, almost all infertility centers stopped their activities which made sample collection difficult.…”

Section: Introductionmentioning

confidence: 99%

The probable destructive mechanisms behind COVID-19 on male reproduction system and fertility

Moshrefi

Ghasemi-Esmailabad

Ali

et al. 2021

J Assist Reprod Genet

View full text Add to dashboard Cite

Purpose The present study aims to summarize the current understanding of probable mechanisms and claims of adverse effects of SARS-CoV-2 on male fertility potential. Methods Our search was including original articles, reviews, guidelines, letters to the editor, comments on guidelines, and editorials, regarding the male reproductive system. We used the words SARS-CoV-2, coronavirus, severe acute respiratory syndrome coronavirus 2, “2019 ncov,” testis, sperm, male factor infertility, fertility treatment, semen, assisted reproductive technology (ART), sexual transmission, and ACE2. Results Data showed coronavirus affects men more than women because of more expression of 2019 nCoV receptors (ACE2 and TMPRSS2) in testicular cells. Also, “Bioinformatics Analysis” suggests that sperm production may be damaged, since “Pseudo Time Analysis” has shown disruption in spermatogenesis. “Gene Ontology” (GO) showed an increase in viral reproduction and a decrease in sperm production-related terms. Recently, SARS-COV-2 mRNA and protein were detected in the semen of patients that had recovered from SARS-CoV-2 infection. Therefore, the probable disruption of blood-testis barrier (BTB) in febrile diseases is suspected in the acute phase of the disease enabling viral entry into the testes. Not only is spermatogenesis disturbed, but also disturbs gonadotropin, androgens, and testosterone secretion during SARS-CoV-2 infection. No sexual transmission has been reported yet; however, detection of the virus in semen still makes the sexual transmission an open question. Conclusion There is a concern that male fertility may be disturbed after the SARS-CoV-2 infection. Therefore, follow-up of the reproductive functions and male fertility may be necessary in recovered cases, especially in aged men.

show abstract

“…One solution is telephone interview that allows patients to remain in their own home. This can be suitable for the health-care of urological patients, as previous reports have shown it to be feasible and associated with good patients satisfaction ( 3 ). In female pelvic reconstructive surgery, telephone interview has been proposed for interview of patients undergoing midurethral tapes, as a screening tool to identify patients who need conventional clinical consultation ( 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

Telephone interview in urogynecology in the era of COVID-19 pandemic

Barba

Manodoro

Bosio

et al. 2021

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

During the Coronavirus disease-2019 (COVID-19) pandemic deferable access, including non-urgent outpatient visits, have been suspended. In our practice non-urgent routine visits for pelvic floor symptom assessment were discontinued and rescheduled, and telephone interview was performed. The aim was to evaluate patients' satisfaction for this alternative approach. Material and Methods: Telephone interviews were conducted using a validated questionnaire to investigate pelvic floor symptoms. Patients were also asked if they had other symptoms or disorders, to identify patients who may need urgent hospital evaluation. At the end of the phone call, patients were asked to score their satisfaction with the telephone interview by grading their response to three questions from 0 (minimum) to 10 (maximum). The questions were: 1) "Was the telephone interview useful to check your state of health?"; 2) "Was the telephone interview an adequate healthcare tool in consideration of COVID-19 outbreak?"; 3) "Could the telephone interview replace the conventional visit?". Results: Fifty-three patients were evaluated. All patients showed great satisfaction with telephone interview (Q1 median: 10, IQ range: 10-10) and were similarly positive in response to the second question (Q2 median: 10, IQ range: 10-10). Although fewer patients felt that telephone interview could replace conventional clinic visits most remained positive (Q3 median: 7; IQ range: 6-8). Conclusion: This simple experience showed that phone interviews with validated questionnaires are appreciated and effective to safely perform interview of selected urogynecologic patients.

show abstract

Clinical pearls to managing men’s health conditions during the COVID-19 pandemic

Cited by 18 publications

References 30 publications

Clinical implications of telemedicine for providers and patients

Clinical implications of telemedicine for providers and patients

The probable destructive mechanisms behind COVID-19 on male reproduction system and fertility

Telephone interview in urogynecology in the era of COVID-19 pandemic

Contact Info

Product

Resources

About