Good urodynamic practice adaptations during the COVID‐19 pandemic

Abstract

Urodynamics testing forms the cornerstone of investigations when it comes to lower urinary tract dysfunction. It has to be done to the highest standards by following the International Continence Society Good Urodynamics Practice protocols. However, with the COVID‐19 pandemic, certain adaptations to the urodynamics procedure need to be considered especially when it comes to quality control. This article aims to define these adaptations to help urodynamicists in their daily practice.

Interim Guidance for Urodynamic Practice during COVID-19 Pandemic

“…Schedule patients with longer intervals to avoid contact between patients and their companions and ensure physical distancing. Standard urodynamic rooms can be used, since a negative pressure environment is not required, and positive pressure rooms are not recommended (7,13). Urodynamic tests are not considered to be aerosol-generating procedures and there is no need for full air change in the room between patients and no need to change ventilation or air conditioning in the room (7,9,14).…”

“…Companions should be avoided whenever possible. Two meters distance should be kept between the patient and staff, except for procedures such as catheterization and examination of the patient (7,15).…”

“…Patients must always wear a face mask. They should perform hand hygiene when entering and leaving the procedure room, by using alcohol hand--gel or thoroughly washing their hands for at least 20 seconds (7,8). The same instructions apply to a companion, if absolutely needed during the test.…”

“…Single-use gloves, aprons and masks are recommended during urodynamic evaluation for all the staff. Because the test may involve body fluids, contact and coughs, eye protection with a face visor or protection glasses should also be used (7,8,13).…”

“…Maneuvers to increase abdominal pressure either to confirm signal quality or to provoke stress urinary leakage should be performed through straining (7). Since coughing results in airborne particles, it should be avoided whenever possible.…”