scholarly journals Correlating complications of transurethral complications of prostate using the Charlson’s Comorbidity Index

2016 ◽  
Vol 18 (3) ◽  
pp. 55
Author(s):  
Aditya Kumar ◽  
Bhoj Raj Luitel ◽  
Uttam Kumar Sharma
Keyword(s):  
Postoperative Complications ◽  
Classification System ◽  
Analytical Study ◽  
University Teaching ◽  
P Value ◽  
Transurethral Resection Of Prostate ◽  
Clavien Classification ◽  
Comorbidity Index ◽  
Clavien Classification System ◽  
One Year

Introduction: Ageing is a continuous, universal and progressive process associated with an increasing incidence of comorbidities. Benign Enlargement of Prostate (BEP) is major cause of morbidity in the ageing men. Transurethral Resection of Prostate (TURP) is the Gold Standard for patients with BEP and delivers durable outcomes, however, is associated with morbidity and mortality.This study was conducted to analyze the correlation of these comorbidities in ageing men with the incidence of complications of TURP.Objective: To report and grade operative complications of TURP using Modified Clavien Classification System (MCCS) and analyze whether Charlson Comorbidity Index (CCI) predicts complications after TURP.Methods: This is a prospective analytical study of 77 patients diagnosed as Benign Prostatic Hyperplasia (BPH) undergoing TURP over one year at Tribhuvan University Teaching Hospital. Preoperative morbidity was classified using Charlsons Comorbidity and postoperative complications were graded according to Modified Clavien Classification System (MCCS) into five grades (Grades I, II, IIIa, IIIb, IVa, IVb and V) according to severity followed till 90 days after TURP.Results: Fourteen out of seventy seven (18.2%) patients developed postoperative complications. CCI Scores of <1 were observed in 73 (94.8%) and >2 in 4 (5.2%) patients, constituting the bulk of 93%, Grade IV complications were 7% and no mortality was observed. Patients with higher CCI scores showed statistically significant increase in the grade of postoperative complication and positively correlated to MCCS (ρ of .295; p value <0.009).Conclusion: Men with higher CCI scores have significantly higher grade of postoperative complications.

scholarly journals Frequency of grading of complications using modified clavien classification system after transurethral resection of prostate.

2021 ◽  
Vol 28 (06) ◽  
pp. 848-853
Author(s):  
Aadil Chaudhary ◽  
Zulfiqar Ahmed ◽  
Bilal Ahmed ◽  
Kaleem Ullah ◽  
Mehran Khan Lashari ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Classification System ◽  
Operative Time ◽  
Prostate Volume ◽  
Prostatic Hyperplasia ◽  
Transurethral Resection Of Prostate ◽  
Clavien Classification ◽  
Operative Complications ◽  
Clavien Classification System

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.

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

2017 ◽  
Vol 11 (2) ◽  
pp. 79-84 ◽  
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.

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

2012 ◽  
Vol 11 (1) ◽  
pp. e1047-e1047a
Author(s):  
C. De Nunzio ◽  
C. Leonardo ◽  
L. Cindolo ◽  
R. Autorino ◽  
R. Miano ◽  
...  
Keyword(s):  
Classification System ◽  
System Analysis ◽  
Operative Time ◽  
Clavien Classification ◽  
Clavien Classification System

Laparoscopic versus open adrenalectomy: Another look at outcome using the Clavien classification system

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