Chronic wounds with low healing rate generally lead to decreased in quality of life of patients, financial burden and increased morbidity rate (Järbrink et al, 2016). Thus, wound care management involving a patented 4-in-1 formulation is an aid in the management of chronic wounds. To demonstrate its efficacy, seven patients were chosen, four with a venous leg ulcer, two with a diabetic foot ulcer and 1 with a pressure ulcer. All the wounds were cleaned, debrided and then the silicon dioxide, silver ions, chlorhexidine and hyaluronic acid cream (KAdermin cream) was applied as the primary dressing, with a non-adhesive dressing as a secondary dressing. This case series demonstrates that the cream was able to reduce wound size significantly, while eliminating infection signs.

Harikrishna KR Nair is a Professor and Head of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Nur Zati Ilwani, a SRN, Staff Nurse of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Ling Li Ng is a Pharmacist of Y.S.P. Industries (M) Sdn. Bhd.Lumpur

Nithesh Naik 1,2, B. M. Zeeshan Hameed2,3 *, Sanjana Ganesh Nayak 4 , Anshita Gera4, Shreyas Raghavan Nandyal 5 , Dasharathraj K. Shetty 6 , Milap Shah2,7, Sufyan Ibrahim2,8 , Aniket Naik 8 , Nagaraj Kamath8 , Delaram Mahdaviamiri 9 , Kenisha Kevin D’costa10 , Bhavan Prasad Rai 2,11, Piotr Chlosta12 and Bhaskar K. Somani 2,13

1 Department of Mechanical and Manufacturing Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

2 iTRUE (International Training and Research in Uro-oncology and Endourology) Group, Manipal, India,

3 Department of Urology, Father Muller Medical College, Mangalore, India,

4 Department of Computer Science and Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

5 Gandhi Medical College, Kaloji Narayana Rao University of Health Sciences, Secunderabad, India,

6 Department of Humanities and Management, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

7 Robotics and Urooncology, Max Hospital and Max Institute of Cancer Care, New Delhi, India,

8 Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India,

9 Manipal College of Pharmaceutical Sciences, Manipal, Manipal Academy of Higher Education, Manipal, India,

10 Department of Biomedical Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

11 Department of Urology, Freeman Hospital, Newcastle upon Tyne, United Kingdom,

12 Department of Urology, Jagiellonian University in Krakow, Kraków, Poland,

13 Department of Urology,University Hospital Southampton NHS Trust, Southampton, United Kingdom

       Telemedicine is the delivery of healthcare to patients who are not in the same location as the physician. The practice of telemedicine has a large number of advantages, including cost savings, low chances of nosocomial infection, and fewer hospital visits. Teleclinics have been reported to be successful in the post-surgery and post-cancer therapy follow-up, and in offering consulting services for urolithiasis patients. This review focuses on identifying the outcomes of the recent studies related to the usage of video consulting in urology centers for hematuria referrals and follow-up appointments for a variety of illnesses, including benign prostatic hyperplasia (BPH), kidney stone disease (KSD), and urinary tract infections (UTIs) and found that they are highly acceptable and satisfied. Certain medical disorders can cause embarrassment, social exclusion, and also poor self-esteem, all of which can negatively impair health-related quality-of-life. Telemedicine has proven beneficial in such patients and is a reliable, cost-effective patient-care tool, and it has been successfully implemented in various healthcare settings and specialties.

Keywords: telemedicine, telehealth, urology, patients perspective, COVID-19