The coronavirus has challenged all medical systems worldwide . Herein both waves of COVID-19 (coronavirus disease 2019) in spring and autumn 2020 differ principally . Whereas Europe was hit by the first wave more or less unprepared, which was aggravated by the high virulence of COVID-19, the second wave is characterized by a much higher contagiosity of the virus with very high incidences . On the other hand the virus has attenuated, which is reflected by the significantly lower incidence-related mortality rate . However, the overall increasing number of infected patients represents again a great challenge for the medical management of the disease . France and Spain are doing better in comparison to Germany and Italy this time . The absolute number of deaths per week is higher than during the peak of the first wave . However, urologists in these countries have also experienced greater restrictions in their activities in the second shutdown than in Germany, where there is only a reduction of beds to between 75 and 90% . Mostly all levels are operated . Of importance for Germany, however, is the plateau on a high level for several weeks probably due to the reduced efficacy of a light lock-down . This finally resulted in a total lock-down in mid-December 2020 . Subsequently in Germany some hospitals are also reaching their limits with similar consequences for the departments of urology facing a 50% reduction of beds and operating only level III and IV indications . Nevertheless, the management of urologic patients during the COVID-19 pandemic is carried out in Europa on a high standard . Therefor the risk of secondary harm to our patients is expected to be rather minimal in the long run.