Reply to Guglielmo Mantica, Nazareno Suardi, and Carlo Terrone`s Letter to the Editor re: Ming-Chun Chan, Sharon E.K. Yeo, Yew-Lam Chong, Yee-Mun Lee. Stepping Forward: Urologists` Efforts During the COVID-19 Outbreak in Singapore. Eur Urol. In press. https://doi.org/10.1016/j.eururo.2020.03.004 (European Urology)

The insightful letter from Mantica et al in response to our article [1] reports a trend for a decrease in emergency department (ED) urological consultations in Italy during the COVID-19 lockdown and highlights two major issues for urologists. First, postponement of urological consultations carries a risk of potential rebound attendances in worsened condition and larger numbers. Our hospital implemented measures in anticipation of this, reviewing and triaging [2,3] all scheduled appointments and adopting telemedicine strategies including phone consultations and prescriptions (with courier delivery), a huge endeavour given the sheer volume of ambulatory patients.