Pediatric urology amidst SARS-CoV-2 pandemic: Building the future with current knowledge

•First article to discuss ethical resource allocation amidst scarcity within pediatric urology.•Development and implementation of a scarce resource allocation team (SRAT) can be executed using the quality improvement plan-do-study-act model.•Surgical pediatric urology cases can be triaged appropriately and ethically using the pediatric Medically-Necessary, time-sensitive (pMeNTS) scoring system. The COVID-19 pandemic has ripped around the globe, stolen family members and forced healthcare systems to operate under an unprecedented strain. As of December 2020, 74.7 million people have contracted COVID-19 worldwide and although vaccine distribution has commenced, a recent rise in cases suggest that the pandemic is far from over. This piece explores how COVID-19 has explicitly impacted the field of pediatric urology and its patients with a focus on vulnerable subpopulations. Various medical and surgical associations have published guidelines in reaction to the initial onset of the pandemic in early 2020. As the number of patients with COVID-19 increases, long-term recovery and future preparedness are imperative and should be cognizant of patient subpopulations that have been subject to disproportionate morbidity and mortality burden. Development of a dedicated response team would aid in achieving preparedness by drafting and implementing plans for resource allocation during scarcity, including logistic and ethical considerations of vaccine distribution. III