Eighty Mardiyan Kurniawati, Eighty and Hari Paraton, Hari and Gatut Hardianto, Gatut and Azami Denas Azinar, Azami and Tri Hastono Setyo Hadi, Tri and Rizqy Rahmatyah, Rizqy and Nur Anisah Rahmawati, Nur Comparison of Urogynecological Care in Hospitals Before and During the SARS CoV-2 Infection: The Case Approach in Dr. Soetomo Hospital Indonesia. Journal of International Dental and Medical Research, 14 (4). pp. 1715-1721. ISSN 1309-100X

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Abstract

Abstract Most of the hospitals are focused on the management of patients suffering from SARS CoV-2 Infection. This causes indirect problems including essential services in urogynecological care. This study aims to determine differences in urogynecological care before and during SARS CoV-2 infection through an analysis of new visits, the number of visits and the number of surgical procedures. The retrospective study was conducted at a urogynecology clinic in a tertiary referral hospital in Indonesia. Medical records from 2016 to 2020 were reviewed including the number of new patient visits, the total number of visits, the number of urogynecological surgical procedures, as well as monthly cases and patient comorbidities in 2020. The diseases studied were six urogynecological diseases including pelvic organ prolapse, congenital abnormalities, fistula, urinary incontinence & retention, perineal rupture, trauma and tumors. Data were analyzed descriptively and statistically. There was a decrease in 2020 for the number of visits, the number of new cases and the number of visits for surgical procedures. The results of statistical tests showed that there was no difference in new patient visits and overall patient visits between 2019 and 2020 (p> 0.05), but there was a difference in the number of patient visits to perform surgical procedures, significantly (p <0.05). In 2020, pelvic organ prolapse is still a case that is always found every month in 2020 even though the number of sufferers is decreasing. Some patients experience comorbidities such as postoperative history and malignancy. The reduction in the number of patients raises the question of how patients can safely access routine and essential urogynecological care. The hospital must be able to meet the needs of patients with quality services such as before the pandemic.

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