Perioperative Complications of Transurethral Resection of the Prostate According to Clavien Classification System = المضاعفات المحيطة بعملية استئصال البروستات عبر الأحليل حسب تصنيف كالفين

2015 ◽  
Vol 49 (2) ◽  
pp. 75-83
Author(s):  
Mossab Al Refaie ◽  
Adnan Ahmad ◽  
Rateb Daowd
2017 ◽  
Vol 11 (2) ◽  
pp. 79-84 ◽  
Author(s):  
Aditya K. Singh ◽  
Pushpendra K. Shukla ◽  
Sartaj W. Khan ◽  
Vazir S. Rathee ◽  
Udai Shankar Dwivedi ◽  
...  

Purpose: A modified Clavien classification system has been proposed to grade perioperative complications. We share our experience in grading the complications of percutaneous nephrolithotomy (PNL), according to this new classification. Methods: A total of 809 PNLs performed between 2010 and 2014 were reviewed retrospectively. The modified Clavien classification system, which classifies the perioperative complications into 5 grades, was applied. Grade wise comparison of complications between the patients with simple and complex calculi was done. We also carried out a univariate analysis of different predictors of complications after surgery. Results: A total of 253 perioperative complications were observed in 237 (29.29%) patients. Most complications were related to bleeding and urinary leakage. Patients with complex calculi had significantly more number of complications across all Clavien groups. In a univariate analysis, positive preoperative urine culture and multiple access for stone clearance were identified to be the independent predictors of complications. Conclusion: The modified Clavien system is a simplistic grading system for classification of postoperative complications. However, it suffers from various shortcomings. Therefore, till the proposition of a more comprehensive classification system, the modified Clavien system is useful for reporting the complications and short-term outcomes of PNL.


2021 ◽  
Vol 28 (06) ◽  
pp. 848-853
Author(s):  
Aadil Chaudhary ◽  
Zulfiqar Ahmed ◽  
Bilal Ahmed ◽  
Kaleem Ullah ◽  
Mehran Khan Lashari ◽  
...  

Objective: To determine the frequency of post-operative complications of transurethral resection of prostate (TURP), in benign prostatic hyperplasia (BPH) patients, using the Modified Clavien Classification System (MCCS). Study Design: Descriptive study. Setting: Urology Department, Sindh Institute of Urology and Transplantation, Karachi. Period: 26th May, 2019 to 25th Nov, 2019. Material & Methods: A total number of 162 patients with benign prostatic hyperplasia planned for TURP were included in this study and Post-operative complications data was collected, and classified according to the Modified Clavien Classification System (MCCS). Patient’s demographics and other parameters like prostate volume, operative time, mean prostatic tissue resected and hospital stay was collected. Results: Mean age was 63.32±8.36 years. Mean prostate volume was 56.99±13.25 grams. Mean operative time was 26.55±9.46 mins. Mean prostate tissue resected was 16.75±12.09 grams. Mean hospital stay was 1.27±0.60 mins. Grade I complication was occurred in 06 (3.70%) patients, grade II in 03 (1.85%) patients, grade III in 00 patients, grade IV in 01 (0.62%) patients and grade V in no patient. While there were no complications in remaining 152 (93.83%) patients. Conclusion: Clavien–Dindo classification system can be easily applied by urologists to grade the post-operative transurethral resection of prostate (TURP) complications. We observed that TURP is a very safe procedure for surgical management of benign prostatic hyperplasia, and is having low morbidity and mortality.


2010 ◽  
Vol 29 (2) ◽  
pp. 205-210 ◽  
Author(s):  
Charalampos Mamoulakis ◽  
Ioannis Efthimiou ◽  
Savas Kazoulis ◽  
Ioannis Christoulakis ◽  
Frank Sofras

2012 ◽  
Vol 11 (1) ◽  
pp. e1047-e1047a
Author(s):  
C. De Nunzio ◽  
C. Leonardo ◽  
L. Cindolo ◽  
R. Autorino ◽  
R. Miano ◽  
...  

Surgery ◽  
2012 ◽  
Vol 152 (6) ◽  
pp. 1090-1095 ◽  
Author(s):  
Laura I. Eichhorn-Wharry ◽  
Gary B. Talpos ◽  
Ilan Rubinfeld

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