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In the majority of Western European countries, the coronavirusdisease (COVID-19) pandemic has led to a dramatic reduction in urooncological surgeries. Our objective was to evaluate the impact of the pandemic onvolume and patterns of urooncological surgery in Poland.    Material and methods  This is a retrospective analysis of 10 urologic centresin Poland. Data regarding major oncological procedures performed after theCOVID-19 pandemic outbreak (March 15, 2020 – May 31, 2020) were evaluated and compared with data from the respective period in 2019.    Results  Between March 15, 2020 and May 31, 2020, a total of 968 oncological procedures were performed in participating centres. When comparedto the respective period in 2019 (1063 procedures) the overall number ofsurgeries declined by 8.9%. The reduction was observed for transurethral resection of bladder tumour (TURBT) (20.1%) and partial nephrectomies (PN)(16.5%). Surgical activity considering radical nephrectomy (RN), nephroureterectomy (NU), and radical prostatectomy (RP) remained relatively unchanged, whereas radical cystectomy (RC) burden showed a significant increase (90.9%). Characteristics ofpatients treated with TURBT, RC, NU, PN, and RN did not differ significantly between the compared periods,whereas RP in the COVID-19 period was performed more frequently in patients with a higher grade group(p = 0.028) and positive digital rectal examination (p = 0.007).    Conclusions  Surgical activity for urological cancers in Poland has been maintained during the first wave ofthe COVID-19 pandemic. The Polish strategy in the initial period of the COVID-19 crisis mirrors the scenarioof hard initial lockdown followed by adaptive lockdown, during which oncological care remained undisruptedand did not require particular priority triage.

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Not as black as it is painted? The impact of the first wave of COVID-19 pandemic on surgical treatment of urological cancer patients in Poland – a cross-country experience