Citation

Ouattara A, Paré AK, Kaboré AF, Kabré B, Bako A, et al. (2019) 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). Int Arch Urol Complic 5:056. doi.org/10.23937/2469-5742/1510056

Copyright

© 2019 Ouattara A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/2469-5742/1510056

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)

Adama Ouattara1*, Abdoul Karim Paré1, Aristide F Kaboré2, Boukary Kabré2, Amidou Bako1 and Mickael Rouamba1

1Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso

2Division of Urology, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso

Abstract

Aims

The aim of this study was to evaluate the post-operative 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 1st June 2015 and 31st 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 post-operative 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.