Review Article
Volume 10 Issue 2 - 2021
Utility of Telemedicine in Pediatric Urology Clinic during Covid-19 Era-Mini Review
Nadeem Iqbal1*, Reem Gulzar2, Ayesha Riaz3, Aimen Iqbal4, Maleeha Nadeem5, Khizar Yaseen6, Keron Akintola Ayodele Blair7, Anum Mubasher8 and Aisha Hasan9
1Pakistan Kidney and Liver Institute, Lahore, Pakistan
2Fatima Jinnah Medical College, Lahore, Pakistan
3Avicenna Medical College, Lahore, Pakistan
4Bahria University Medical and Dental College, Karachi, Pakistan
5University Medical and Dental College, Faisalabad, Pakistan
6Hamdard College of Medicine and Dentistry, Pakistan
7American International School of Medicine, Georgetown, Guyana
8Lahore Medical and Dental College, Lahore, Pakistan
9Avicenna Medical College, Lahore, Pakistan
*Corresponding Author: Nadeem Iqbal, Department of Urology and Kidney Transplant, Pakistan Kidney and Liver Institute, Lahore, Pakistan.
Received: January 04, 2021; Published: January 23, 2021


The COVID-19 pandemic has had a huge impact on all specialty clinics including pediatric urologic practices across the world. At many centers emergency surgeries were pursued without interruption, however, elective procedures had to be halted across many hospitals during the first wave of COVID-19. Delaying pediatric urologic procedures can be drastic in certain situations (such as obstructive uropathy leading to infections or sepsis) because they can lead to worsening of the disease. To avert morbidity associated with the deferment of care during the COVID-19 pandemic, practices that safely allow for high quality care have been implemented. In this article we reviewed recent telemedicine reports, related challenges faced by both physicians and pediatric urology patients and suggestions regarding the best practices to overcome these challenges.

Keywords: COVID-19; Pediatric Urology; Telemedicine


  1. Fernandez N and Caicedo JI. “Impact of COVID-19 on the future of Pediatric Urology practice. Do guidelines apply to medical practice worldwide?” The Journal of Pediatric Urology 16 (2020): 291-292.
  2. Quaedackers JSLT., et al. “Clinical and surgical consequences of the COVID-19 pandemic for patients with pediatric urological problems: statement of the EAU guidelines panel for paediatric urology, March 30 2020”. The Journal of Pediatric Urology 16 (2020): 284-287.
  3. Spinoit AF., et al. “Impact of the COVID-19 pandemic on paediatric urology practice in Europe: a reflection from the European association of urology young academic urologists”. European Urology 78 (2020): 122-124.
  4. Finkelstein JB., et al. “Ramping up telemedicine in pediatric urology- Tips for using a new modality”. The Journal of Pediatric Urology 16 (2020): 288-289.
  5. Malik A Z. “Telemedicine Country Report-Pakistan,” 2007 9th International Conference on e-Health Networking, Application and Services, Taipei (2007): 90-94.
  6. Shoaib M., et al. “Telemedicine: distance matters not now”. Journal of Pakistan Medical Association 62 (2012): 1268-1269.
  7. Kurji Z., et al. “Analysis of the Health Care System of Pakistan: Lessons learnt and way forward”. Journal of Ayub Medical College, Abbottabad 28 (2016): 601-604.
  8. Iqbal N., et al. “Telemedicine in Urology Clinic in COVID Era and the Inherent Challenges in Developing Countries: Review Article”. The Journal of Biology and Today's World 9 (2020): 001-003.
  9. Keesara S., et al. “Covid-19 and Health Care’s Digital Revolution”. The New England Journal of Medicine 382 (2020): e82.
  10. Canon S., et al. “A pilot study of telemedicine for post-operative urological care in children”. Journal of Telemedicine and Telecare 20 (2014): 427-430.
  11. Rabie NZ., et al. “Prenatal diagnosis and telemedicine consultation of fetal urologic disorders”. Journal of Telemedicine and Telecare 22 (2016): 234-237.
  12. Finkelstein JB., et al. “The use of telemedicine for the postoperative urological care of children: results of a pilot program”. The Journal of Urology 202 (2019): 159-163.
  13. Kruse CS., et al. “Evaluating barriers to adopting telemedicine worldwide: a systematic review”. Journal of Telemedicine and Telecare 24 (2018): 4-12.
  14. Ali S I., et al. “Management of Ureteroceles: Review Article”. The Journal of Biology and Today's World 9 (2020): 001-004.
  15. Chen N., et al. “Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study”. Lancet 395 (2020): 507-513.
  16. Gates B. “Responding to COVID-19. A Once-in-a-Century Pandemic?” The New England Journal of Medicine 382 (2020): 1677-1679.
  17. Parikh A., et al. “The effectiveness of outpatient appointment reminder systems in reducing no-show rates”. The American Journal of Medicine 123 (2010): 542-548.
  18. Winkelman AJ., et al. “Benefits and barriers to pediatric tele-urology during the COVID-19 pandemic”. The Journal of Pediatric Urology 16 (2020): 840-846.
  19. Comer BT., et al. “No-show rates in employed otolaryngology practice”. Ear, Nose and Throat Journal (2019): 014556131989315.
  20. Charles EJ., et al. “Socioeconomic Distressed Communities Index predicts risk-adjusted mortality after cardiac surgery”. The Annals of Thoracic Surgery 107 (2019): 1706-1712.
  21. Young K., et al. “Impact of telemedicine in pediatric postoperative care”. Telemed e-Health 25 (2019): 1083-1089.
  22. Rodriguez Socarrás M., et al. “Telemedicine and Smart Working: Recommendations of the European Association of Urology”. European Urology 78 (2020): 812-819.
  23. Somani BK., et al. “Delivery of urological services (telemedicine and urgent surgery) during COVID-19 lockdown: experience and lessons learnt from a university hospital in United Kingdom”. Scottish Medical Journal (2020): 36933020951932.
  24. Castaneda P and Ellimoottil C. “Current use of telehealth in urology: a review”. World Journal of Urology 38 (2020): 2377-2384.
Citation: Nadeem Iqbal., et al. “Utility of Telemedicine in Pediatric Urology Clinic during Covid-19 Era-Mini Review”. EC Paediatrics 10.2 (2021): 57-61.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

February Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the February issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before February 21, 2023.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.