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- Title
Categorization of intraoperative ureteroscopy complications using modified Satava classification system.
- Authors
Tepeler, Abdulkadir; Resorlu, Berkan; Sahin, Tolga; Sarikaya, Selcuk; Bayindir, Mirze; Oguz, Ural; Armagan, Abdullah; Unsal, Ali
- Abstract
Objectives: To review our experience with ureteroscopy (URS) in the treatment of ureteral calculi and stratify intraoperative complications of URS according to the modified Satava classification system. Patients and methods: We performed a retrospective analysis of 1,208 patients (672 males and 536 females), with a mean age of 43.1 years (range 1-78), who underwent ureteroscopic procedures for removal of ureteral stones. Intraoperative complications were recorded according to modified Satava classification system. Grade 1 complications included incidents without consequences for the patient; grade 2 complications, which are treated intraoperatively with endoscopic surgery (grade 2a) or required endoscopic re-treatment (grade 2b); and grade 3 complications included incidents requiring open or laparoscopic surgery. Results: The stones were completely removed in 1,067 (88.3 %) patients after primary procedure by either simple extraction or after fragmentation. The overall incidence of intraoperative complications was 12.6 %. The most common complications were proximal stone migration (3.9 %), mucosal injury (2.8 %), bleeding (1.9 %), inability to reach stone (1.8 %), malfunctioning or breakage of instruments (0.8 %), ureteral perforation (0.8 %) and ureteral avulsion (0.16 %). According to modified Satava classification system, there were 4.5 % grade 1; 4.4 % grade 2a; 3.2 % grade 2b; and 0.57 % grade 3 complications. Conclusion: We think that modified Satava classification is a quick and simple system for describing the severity of intraoperative URS complications and this grading system will facilitate a better comparison for the surgical outcomes obtained from different centers.
- Subjects
URINARY calculi; URETEROSCOPY; SURGICAL complications; ENDOSCOPIC surgery; DISEASE incidence; MUCOUS membranes; HEMORRHAGE; WOUNDS &; injuries; THERAPEUTICS
- Publication
World Journal of Urology, 2014, Vol 32, Issue 1, p131
- ISSN
0724-4983
- Publication type
Article
- DOI
10.1007/s00345-013-1054-y