1047 Operative time is associated with perioperative TURB complications: A modified Clavien classification system analysis

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.

Download Full-text

Surgical Complications After Robot-Assisted Laparoscopic Radical Prostatectomy: The Initial 1000 Cases Stratified by the Clavien Classification System

Journal of Endourology ◽

10.1089/end.2011.0322 ◽

2012 ◽

Vol 26 (2) ◽

pp. 135-139 ◽

Cited By ~ 20

Author(s):

Faisal Ahmed ◽

Jonathan Rhee ◽

Douglas Sutherland ◽

Compton Benjamin ◽

Jason Engel ◽

...

Keyword(s):

Radical Prostatectomy ◽

Classification System ◽

Surgical Complications ◽

Laparoscopic Radical Prostatectomy ◽

Robot Assisted ◽

Clavien Classification ◽

Clavien Classification System

Download Full-text

Reporting ureteroscopy complications using the modified clavien classification system

Urology Annals ◽

10.4103/0974-7796.148611 ◽

2015 ◽

Vol 7 (1) ◽

pp. 53 ◽

Cited By ~ 12

Author(s):

AhmedKhalil Ibrahim

Keyword(s):

Classification System ◽

Clavien Classification ◽

Clavien Classification System

Download Full-text

Using the Modified Clavien Grading System to Classify Complications of Percutaneous Nephrolithotomy

Current Urology ◽

10.1159/000447198 ◽

2017 ◽

Vol 11 (2) ◽

pp. 79-84 ◽

Cited By ~ 4

Author(s):

Aditya K. Singh ◽

Pushpendra K. Shukla ◽

Sartaj W. Khan ◽

Vazir S. Rathee ◽

Udai Shankar Dwivedi ◽

...

Keyword(s):

Percutaneous Nephrolithotomy ◽

Classification System ◽

Perioperative Complications ◽

Univariate Analysis ◽

Grading System ◽

Short Term ◽

Clavien Classification ◽

Clavien Classification System ◽

Comprehensive Classification

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.

Download Full-text

Supracostal Approach for PCNL: Is 10th and 11th Intercostal Space Safe According to Clavien Classification System?

International Surgery ◽

10.9738/intsurg-d-13-00167.1 ◽

2014 ◽

Vol 99 (6) ◽

pp. 857-862 ◽

Cited By ~ 4

Author(s):

Cengiz Kara ◽

Tansu Değirmenci ◽

Zafer Kozacioglu ◽

Bulent Gunlusoy ◽

Omer Koras ◽

...

Keyword(s):

Shock Wave Lithotripsy ◽

Operative Time ◽

Intercostal Space ◽

Clavien Classification ◽

Stone Free Rate ◽

Grade Ii ◽

Clavien Classification System ◽

Group 2 ◽

Free Rate ◽

Group 1

Abstract The purpose of this study was to evaluate the success and morbidity of percutaneous nephrolithotomy (PCNL) performed through the 11th and 10th intercostal space. Between March 2005 and February 2012, 612 patients underwent PCNL, 243 of whom had a supracostal access. The interspace between the 11th and 12th rib was used in 204 cases (group 1) and between the 10th and 11th interspaces in 39 cases (group 2). PCNL was performed using standard supracostal technique in all patients. The operative time, success rate, hospital stay, and complications according to the modified Clavien classification were compared between group 1 and group 2. The stone-free rate was 86.8% in group 1 and 84.6% in group 2 after one session of PCNL. Auxiliary procedures consisting of ureterorenoscopy (URS) and shock wave lithotripsy (SWL) were required in 5 and 7 patients, respectively, in group 1; and in 1 patient each in group 2 . After the auxiliary procedures, stone-free rates increased to 92.6% in group 1 and 89.7% in group 2. A total of 74 (30.4%) complications were documented in the 2 groups according to modified Clavien classification. Grade-I complications were recorded in 20 (8.2%), grade-II in 38 (15.6%), grade-IIIa in 13 (5.3%), and grade-IIIb in 2 (0.8%) patients; grade-IVa was recorded in 1 (0.4%) patient. There were no grade-IVb or grade-V complications. Overall complication rate was 30.9% in group 1 and 28.2% in group 2. Supracostal PCNL in selected cases is effective and safe with acceptable complications. The modified Clavien system provides a standardized grading system for complications of PCNL.

Download Full-text