Using Modified Clavien-Dindo's Classification System for Reporting Postoperative Complications of Transvesical Prostatectomy at Souro Sanou University Teaching Hospital of Bobo-Dioulasso (Burkina-Faso)

Abstract

Aims: The aim of this study was to evaluate the postoperative complications using a standardized classification; modified Clavien's classification. Patients and methods: We have included all patients aged at least 50-years-old on the day of surgery between the 1 st June 2015 and 31 st May 2017 at the urology division of Souro Sanou University Teaching Hospital of Bobo-Dioulasso. Complications reports were performed according to the modified Clavien-Dindo system. Results: Hundred patients (100) presenting a complication after BPH surgery were included in this study in a total of 312 open prostatectomies performed. The postoperative complication rate was 32%. Seventy percent of the patients had at least one complication. Grade I and Grade II complications according to the modified Clavien's classification system were the most represented (87%). Two patients (2) died in the immediate postoperative period (Grade V). The presence of urethral catheter before surgery was identified as a risk factor for complication. A statistically significant difference was found in the group ICC ˃ 2 (Charlson Index of Comorbidity) for age parameter in the occurrence of complication. Conclusions: Open prostatectomy is associated with high morbidity in subjects with urinary catheters prior to surgery. Grade I and Grade II according to the modified Clavien's classification system were the most reported.

Efficacy and safety of photoselective vaporization of the prostate using the Greenlight XPS 180W laser and simple prostatectomy for high-volume prostate hypertrophy: A comparative analysis

“…The results obtained in the study on postoperative assessment of prostate adenoma using both methods according to the Clavien-Dindo classification are similar to the results obtained in other urological trials [ 26 , 27 , 28 ].…”