Browsing by Author "Nikić, Predrag (55189551300)"

Introduction/Objective The COVID-19 pandemic affected the functioning of health care systems, includ-ing emergency services worldwide. The aim of this study was to examine the impact of the pandemic and lockdown on the care of urgent urological patients in daily practice. Methods Data were retrospectively collected from patients urgently hospitalized at Emergency Department of Clinic of Urology, University Clinical Center of Serbia, during the first three months of lockdown between March 15 and June 15, 2020, and compared to the same period in 2019. The collected data included demographic and clinical characteristics, as well as treatment characteristics and treatment outcomes. Results This study included 80 patients who were hospitalized during the 2020 lockdown and 68 patients who were hospitalized in the same period in 2019. There was no difference in total number of hospitalized patients, age and sex when comparing these two periods. Among patients with urinary tract infection, the number of patients with urosepsis was significantly higher in 2020 (p = 0.028). The median time from symptoms’ onset to hospitalization was significantly longer in patients who were hospitalized in 2020 (p = 0.049). No difference was found in duration of hospitalization and characteristics of treatment between the two periods. The number of deaths was significantly higher in 2020 (p = 0.034). Conclusion During lockdown in Serbia, patients sought emergency urology service significantly later. Furthermore, a higher number of patients with urosepsis and a higher number of deaths among hospitalized patients were found during lockdown compared to the previous year. © 2023, Serbia Medical Society. All rights reserved.

Introduction: Vesicovaginal fistulas (WF) are the most common and the most frequent type of urogenital fistulas. They may have a different etiology. In most cases, surgery is required for treatment. Objective: The aim of the study was to analyze the results of surgical therapy of WF in a tertiary level institution over the last decade. Methods: The retrospective study of results was conducted involving a total number of 99 women who were surgically treated for WF at the Clinic of Urology of the Clinical Center of Serbia in Belgrade in the period from 2001-2010. Results: Over the past ten years WF occurred after hysterectomy in 74.7% of cases, and almost twice more frequently after hysterectomy for a benign gynecological disease. In the surgical treatment of primary WF transvesical approach was used in 53.53% (52/99) of cases. Relapses were treated surgically using transperitoneal approach in all cases. No significant difference was found in respect to the applied approach in the surgical treatment of primary fistulas. In even 94% (93/99) of cases the problem of WF was solved by a single surgical intervention only. In total, in 107 interventions 8 (7.4%) relapses were recorded. Conclusion: The study showed that WF occurred after hysterectomy in three quarters of cases, more frequently after hysterectomy due to a benign gynecological disease. Early detection with timely and appropriate treatment of gynecological diseases will reduce the number of conditions that may lead to WF. Surgical treatment of WF yielded satisfactory results; it was shown that even in 94% of cases the problem of WF was solved by a single surgical intervention only, however further improvement is certainly necessary.