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World Journal of Urology
Published in: World Journal of Urology 2/2011

Open Access 01-04-2011 | Topic Paper

The modified Clavien classification system: a standardized platform for reporting complications in transurethral resection of the prostate

Authors: Charalampos Mamoulakis, Ioannis Efthimiou, Savas Kazoulis, Ioannis Christoulakis, Frank Sofras

Published in: World Journal of Urology | Issue 2/2011

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Abstract

Purpose

The aim of the study was to evaluate the applicability of the modified Clavien classification system (CCS) in grading perioperative complications of transurethral resection of the prostate (TURP).

Methods

All patients with benign prostatic hyperplasia submitted to monopolar TURP from January 2006 to February 2008 at a non-academic center were evaluated for complications occurring up to the end of the first postoperative month. All complications were classified according to the modified CCS independently by two urologists, and the final decision was based on consensus. If multiple complications per patient occurred, categorization was done in more than one grade. Results were presented as complication rates per grade.

Results

Forty-four complications were recorded in 31 out of 198 patients (overall perioperative morbidity rate: 15.7%), and their grading was generally easy, non-time-consuming and straightforward. Most of them were classified as grade I (59.1%) and II (29.5%). Higher grade complications were scarce (grade III: 2.3% and grade IV: 6.8%, respectively) There was one death (grade V: 2.3%) due to acute myocardial infarction (overall mortality rate: 0.5%). Negative outcomes such as mild dysuria during this early postoperative period or retrograde ejaculation were considered sequelae and were not recorded. Nobody was complicated with severe dysuria. There was one re-operation due to residual adenoma (0.5%).

Conclusions

The modified CCS represents a straightforward and easily applicable tool that may help urologists to classify the complications of TURP in a more objective and detailed way. It may serve as a standardized platform of communication among clinicians allowing for sound comparisons.
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Metadata
Title
The modified Clavien classification system: a standardized platform for reporting complications in transurethral resection of the prostate
Authors
Charalampos Mamoulakis
Ioannis Efthimiou
Savas Kazoulis
Ioannis Christoulakis
Frank Sofras
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 2/2011
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-010-0566-y

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