Continuing care for patients affected by urologic chronic pelvic pain in the era of severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2) pandemic

Antonella Giannantoni, Emanuele Rubilotta, Matteo Balzarro, Marilena Gubbiotti
In: Neurourology and Urodynamics · 2020 · vol. 40(1) , pp. 397–403 · doi:10.1002/nau.24574 · PMID:33197061 · W3099694395
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Urologic chronic pelvic pain patients experienced increased pain intensity, catastrophizing, and psychological distress during the SARS-CoV-2 pandemic, highlighting the need for continued remote care.

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Abstract

AIMS: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic poses a challenge to treatment of patients with urologic chronic pelvic pain (UCPP), who are at risk to be postponed in the priority of care. We investigated pain, catastrophizing, and psychological status in UCPP patients during SARS-CoV-2 by means of Skype telephone calls. METHODS: A total of 28 UCPP patients underwent Skype video consultations. Pain intensity was assessed with Pain Numerical Rating Scale (PNRS). Pain Catastrophizing Scale (PCS) and Depression Anxiety Stress Scales (DASS-21) were used to assess catastrophizing and psychological status. RESULTS: During SARS-CoV-2, UCPP patients showed higher intensity of pain than before (mean ± SD PNRS score: 7.25 ± 0.9 vs. 5.4 ± 0.7; p < .0001), with pain exacerbation in 75%; they showed higher PCS and DASS-21 scores as compared to before the pandemic (mean ± SD PCS total score: 32.4 ± 1.2 vs. 23.7 ± 3.5; mean ± SD DASS-21 total score: 42.03 ± 4.5 vs. 34.4 ± 2.2; p < .001 and p < .001, respectively). CONCLUSION: During SARS-CoV-2 pandemic UCPP patients presented with high intensity of pain, marked catastrophizing thoughts and severe alteration of the psychological status. These observations impose the need not to postpone assessment and treatment of these patients during the pandemic. Remote visits with video telephone calls are a simple way of continuing care in UCPP patients.

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