Is Clavien the New Standard for Reporting Urological Complications?

Morgan, Matthew B.; Smith, Naomi C.; Thomas, Kay; Murphy, Declan

doi:10.1111/j.1464-410x.2009.08516.x

Cited by 53 publications

(35 citation statements)

References 12 publications

(17 reference statements)

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“…The enucleated tissue and operative time in this study were not different from that of naïve HoLEP as previously reported, which indicated the operative efficiency was not inferior to that of conventional HoLEP. 5 In patients with residual BPH, there was significant remnant tissue around the verumontanum which may have been predominantly responsible for recurrent obstructive symptoms. Tissue around the verumontanum was presumed to be a result of incomplete resection.…”

Section: Discussionmentioning

confidence: 99%

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Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

Bae

Jeong

et al. 2014

CUAJ

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Section: Discussionmentioning

confidence: 99%

“…There were no major complications in Group 1 according to the modified Clavien classification. 5 One patient had persistent postoperative bleeding and another sustained mucosal injury during morcellation. The prostatic capsule was ruptured in 1 case, which resolved after delayed removal of the urethral catheter.…”

Section: Surgical Outcomesmentioning

confidence: 99%

Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

Bae

Jeong

et al. 2014

CUAJ

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“…The post-operative complications were rated on the Clavien-Dindo scale. 12,13 Statistical comparisons were made using the SPSS version 22 software. Pearson chisquared analysis was used to compare categorical variables and the Student's t-test for continuous variables, with statistical significance defined at p<0.05.…”

Section: Surgical Revision Of Catheterizable Channel Obstructionmentioning

confidence: 99%

Outcomes of revision surgery for difficult to catheterize continent channels in a multi-institutional cohort of adults

Pagliara¹,

Gor

Liberman³

et al. 2017

CUAJ

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Introduction: We aimed to describe the strategies of surgical revision for catheterizable channel obstruction and their outcomes, including restenosis and new channel incontinence. Methods: We retrospectively queried the charts of adults who underwent catheterizable channel revision or replacement from 2000-2014 for stomal stenosis, channel obstruction, or difficulty with catheterization at the Universities of Minnesota, Michigan, and Utah. The primary endpoint was channel patency as measured by freedom from repeat surgical intervention. Secondary endpoints included post-revision incontinence and complication rates. Revision surgeries were classified by strategy into "above fascia," "below fascia," and "channel replacement" groupings. Results: A total of 51 patients who underwent 68 repairs (age 18-82 years old; mean 45) were identified who met our inclusion criteria. Channel patency was achieved in 66% at a median 19 months post-revision for all repair types. There was no difference in patency by the type of channel being revised, but there was based on revision technique, with channel replacement and above the fascia repairs being more successful (p=0.046). Channel incontinence occurred in 40% and was moderate to severe in 12%. The type of channel being revised was strongly associated (p=0.003) with any postoperative channel incontinence. Surgical complications occurred in 29% of all revision procedures, although most were low-grade. Conclusions: Surgical revision of continent catheterizable channels for channel obstruction can be performed with acceptable rates of durable patency and incontinence; however, the surgeon needs to have experience in complex urinary diversion and familiarity with a variety of surgical revision strategies.

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“…(1) The modified Clavien system was validated in general surgery and is being adopted by urologists for grading of complications in urology. 2,3 The rate of complications varies according to the complexity of stone disease. The stones are generally classified into single/multiple, pelvic/calyceal and simple/staghorn which may be a partial /complete staghorn.…”

Section: Introductionmentioning

confidence: 99%

Complications of Percutaneous Nephrolithotomy in Private Practice

Ramesh¹,

Chary²,

Gopichand³

et al. 2016

jemds

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BACKGROUNDThe increasing global prevalence of nephrolithiasis continues to burden the health care delivery systems of developing nations. Percutaneous Nephrolithotomy (PCNL) is considered the standard treatment for many types of calculi. This study focuses on the complications of PCNL in private practice setting at a peripheral center using the modified Clavien system and role of Guy 's stone score as a predictor of stone free rate and complications.

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Is Clavien the New Standard for Reporting Urological Complications?

Cited by 53 publications

References 12 publications

Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

Salvage Holmium laser enucleation of prostate to treat recurring benign prostatic hyperplasia

Outcomes of revision surgery for difficult to catheterize continent channels in a multi-institutional cohort of adults

Complications of Percutaneous Nephrolithotomy in Private Practice

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