Background: Hematuria is one of the most common findings in urology. The management of hematuria detected in routine medical check-ups is also important in this respect. The aim of this study was to determine the frequency of hematuria in patients undergoing medical check-ups and evaluate its association with abnormal urological findings in laboratory tests and imaging. Methods: Asymptomatic patients who presented to the check-up clinic between January 1 and December 31, 2020 were included. All patients underwent a complete laboratory workup and total abdominal ultrasound (TAUS). The distributions of hematuria by sex and age and the relationship between hematuria and abnormal urological findings in the laboratory tests and TAUS were calculated. Results: The mean age of the 2077 check-up patients was 45.8±12.8 years. The female to male ratio was 1.07:1 and there was no significant difference in age between the sexes (p=0.655). Microscopic hematuria was detected in 15.9% of the patients. The frequency of hematuria was 10.8% in men and 20.7% in women (p<0.001). Men with hematuria were significantly older than men without hematuria (p=0.033), while hematuria was not associated with age in women (p=0.521). When its relationship between abnormal urological findings was evaluated, hematuria had sensitivity of 21.70% (95% CI: 18.84, 24.86) and specificity of 87.11% (95% CI: 85.23, 88.79). Conclusion: The frequency of hematuria in check-up patients was remarkable, at 15.9%. Hematuria in women is more common and unrelated to age, unlike in men. Hematuria had high specificity but low sensitivity for urological abnormal findings.

Background: Following the rapid global spread of the novel coronavirus SARS-CoV-2, the World Health Organization declared COVID-19 a pandemic on March 11, 2020. Over the intervening year, there has been interest in the impact of both SARS-CoV-2 infection and pandemic-induced social restrictions on male reproductive health. This study aimed to evaluate the spermiogram values of men who presented to a urology clinic due to infertility during the pandemic and compare the results with those in the previous two years. Materials and Methods: Patients who presented to the urology outpatient clinic of Medical Park Antalya Hospital Complex for the first time due to infertility were included. The patients’ age, semen volume, and spermiogram results were recorded. The patients were divided by presentation date into pre-pandemic group 1 (March 2018 - February 2019), pre-pandemic group 2 (March 2019 - February 2020), and the pandemic group (March 2020 - February 2021) for comparison. Results: A total of 594 patients were included in the study. There was no significant difference between the three groups in terms of the number of patients who presented (207, 190, and 197 patients, respectively; p=0.691). The mean age was 36.6±7.2 in pre-pandemic group 1, 35.5±7.1 in pre-pandemic group 2, and 33.1±6.3 in the pandemic group. Patients who presented during the pandemic were significantly younger (p<0.001). There was no difference in semen volume among the groups (p=0.910). Analysis of spermiogram results revealed no significant differences in normospermia and pathological spermiogram rates by year (p=0.222). Conclusion : In the first year of the COVID-19 pandemic, there was no significant difference in the number of men who presented for infertility or in their spermiogram results compared to 2018 and 2019. However, it is noteworthy that the patients were significantly younger during the pandemic than in the previous two years.

Objective: To present a nation-wide analysis of the workload of urology departments in Turkey week-by-week during Covid-19 pandemic. Methodology: The centers participating in the study were divided into three groups as tertiary referral centers, state hospitals and private practice hospitals. The number of outpatients, inpatients, daily interventions and urological surgeries were recorded prospectively between 9-March-2020 and 31-May-2020. All these variables were recorded for the same time interval of 2019 as well. The weekly change of the workload of urology during pandemic period was evaluated; also the workload of urology and the distributions of certain urological surgeries were compared between the pandemic period and the same time interval of the year 2019. Results: A total of 51 centers participated in the study. The number of outpatients, inpatients, urological surgeries and daily interventions were found to be dramatically decreased by the third week of pandemics in state hospitals and tertiary referral centers; however the daily urological practice were similar in private practice hospitals throughout the pandemic period. When the workload of urology in pandemic period and the same time interval of the year 2019 were compared; a huge decrease was observed in all variables during pandemic period. However, temporary measures like ureteral stenting, nephrostomy placement and percutaneous cystostomy have been found to increase during Covid-19 pandemic compared to normal life. Conclusions: Covid-19 pandemic significantly effected the routine daily urological practice likewise other subspecialties and priority was given to emergent and non-deferrable surgeries by urologists in concordance with published clinical guidelines.