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The need for urogenital tract monitoring in COVID-19

Emily

Editor, Senior Moderator
https://www.nature.com/articles/s41585-020-0319-7
Wang, S., Zhou, X., Zhang, T. et al. The need for urogenital tract monitoring in COVID-19. Nat Rev Urol (2020). https://doi.org/10.1038/s41585-020-0319-7
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2, which invades a cell through binding to the ACE2 receptor and TMPRSS2 priming. Patients with severe disease predominantly present with pneumonia-related symptoms. However, evidence suggests that COVID-19 infection also has implications for the urogenital tract. Thus, urogenital organs should be considered when treating COVID-19.

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Most patients with severe COVID-19 present with pneumonia-related symptoms, but some patients with severe disease could develop serious urinary complications including acute kidney injury (AKI), which requires continuous renal replacement therapy (CRRT)[SUP]1[/SUP]. Furthermore, male reproductive systems are vulnerable to infection; dramatic changes in sex hormones in patients with COVID-19 have been observed, suggesting gonadal function impairment[SUP]2[/SUP]. Thus, understanding the mechanisms by which SARS-CoV-2 impairs the urogenital system and learning from previous experience of managing these complications are of great importance for proper treatment and rehabilitation planning.
 
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