Introduction. Coronavirus disease (COVID-19) has caused a public health emergency and the need to repurpose many medical organizations in infectious diseases hospitals to treat patients with COVID-19. In this regard, it is relevant to analyze our own experience in providing urgent urological care to patients with COVID-19 in the of the «red zone».

Materials and methods. A retrospective analysis of all cases of providing medical care to patients with COVID-19 with concomitant urgent urological pathology for an 18- month period (from May 2020 to October 2021) was carried out at the Makhachkala City Clinical Hospital, which had full bed capacity (900 beds) converted into COVID-hospital. This period was compared with the 18-month period (from October 2018 to March 2020) of the urological department (60 beds) of this hospital before the COVID-19 pandemic in terms of the frequency and structure of urological urgent diseases, the frequency and nature of the surgical interventions performed.

Results. Urgent urological diseases and syndromes were diagnosed before the onset of COVID-19 in 652 cases, among patients with COVID-19 - in 114 cases (p = 0.001). In terms of the relative frequency of occurrence of various urgent conditions, statistically significant differences were revealed only in purulent-inflammatory diseases of the kidney and hematuria, the proportion of which in the structure of urgent urological pathology was significantly higher during the period of COVID-19 (p < 0.05). Among patients with urgent urological pathology, the need for urgent surgical intervention was significantly higher during the pandemic: 17.6% (115/652) and 28.9% (33/114) before and during the COVID-19 pandemic, respectively (p = 0.048).

Conclusion. Urgent urological pathology in the period of COVID-19 differs from the period before the onset of the pandemic in qualitative and quantitative terms. In patients with severe or moderate COVID-19, urgent urological diseases, occur in a more severe form and often require urgent surgical intervention.