Sewage surveillance system using urological wastewater: Key to COVID-19 monitoring?

•The presence of active virus in bodily fluids of COVID-19 patients is a continuing topic of debate and causes uncertainty among clinical urologists.•We review the presence of active SARS-CoV-2 in urine, feces and semen and discuss current viral detection methods.•We conclude that the risk of viral transmission by urological bodily fluids is likely low.•Analyzing urological wastewater for SARS-CoV-2 with a sewage surveillance system might complement other preventive measures and could act as warning system for return of the virus by early identification of new viral clusters.