MMSL 2024, 93(1):3-9 | DOI: 10.31482/mmsl.2023.014

UROLOGICAL PRESENTATION OF PATIENTS WITH COVID-19 IN NINEVAH, IRAQOriginal article

Ahmad Hameed Mohamad1, Zaid Saaduldeen Khudhur ORCID...2*
1 Department of Urology, Alsalam Teaching Hospital, Mosul, Iraq
2 Department of Surgery, College of Medicine, University of Mosul, Mosul, Iraq

Introduction: “Corona virus-induced disease (COVID-19)” is a highly infectious respiratory disease caused by the coronavirus (SARS-COV-2). In addition to respiratory symptoms, the infected people also experience urological symptoms such as renal impairment and lower urinary tract symptoms (LUTS), which include frequency, urgency, loin pain, pyuria, and hematuria. Infertility and urolithiasis have also been detected in some patients.

Objectives: To evaluate the effect of the coronavirus on the urinary system and its consequences on the affected patients.

Methods: A prospective case series study was conducted in Mosul City, Iraq. One hundred COVID-19 patients, after a positive PCR result, confirmed their infection with the coronavirus, were evaluated clinically and sent for urine analysis and a renal function test.

Results: Among the 100 patients studied, more males (56%) than females (44%) were affected by COVID-19. Patients in the 51–60 age range have the highest incidence of urinary symptoms, with loin pain being the most common symptom (52%) and frequency coming in second (51%). Regarding urine analysis, pus cells, RBCs, and protein were observed in 48, 24, and 24%, respectively. Renal function tests were abnormal in 55% of infected patients.

Conclusion: The impact of the coronavirus on the urinary system differs from one patient to another. Patients who are elderly are severely affected, and urinary manifestations appear to be more prominent in this age group. Moreover, acute kidney injury may happen in some individuals, particularly those who are hospitalized, and the lower urinary tract infection may be accompanied by fever, dehydration, or a prolonged homestay.

Keywords: COVID-19; LUTS; AKI; SARS-COV-2; Urological diseases

Received: August 8, 2022; Revised: March 25, 2023; Accepted: March 27, 2023; Prepublished online: March 29, 2023; Published: March 1, 2024  Show citation

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Mohamad, A.H., & Khudhur, Z.S. (2024). UROLOGICAL PRESENTATION OF PATIENTS WITH COVID-19 IN NINEVAH, IRAQ. MMSL, 93(1), 3-9. doi: 10.31482/mmsl.2023.014
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