OBJECTIVES: • To assess the impact of both prepubic and perineal urethrectomy on the complication rate and grade when cysto-urethrectomy is planned. • To review the perioperative complications of radical cysto-urethrectomy and grade them according to the modified Clavien classification system. PATIENTS AND METHODS: • A total of 186 radical cysto-urethrectomies were performed between 1984 and 2008 • Patients' charts were retrospectively reviewed, focusing on operation duration, hospital stay and complications arising. • According to this new classification, perioperative complications were stratified into five grades. RESULTS: • Prepubic urethrectomy was done in 71 patients (group I) while perineal urethrectomy was done in 115 patients (group II). • The mean operation duration was significantly lower in group I than in group II (173.8 and 208.9 min in groups I and II, respectively; P= 0.003). • There were a total of 46 perioperative complications in 186 (24.7%) patients, 21 (29.5%) in the prepubic group and 25 (21.1%) in the perineal group. • There were 19 (90.5%) and 18 (72%) low-grade (G1-3) complications in the prepubic and perineal groups, respectively, and two (9.5%) and seven (28%) high-grade (G4-5) complications in the prepubic and perineal groups, respectively (P= 0.033). • The mean hospital stay was significantly lower in group I than in group II (14.5 and 17.6 days in groups I and II, respectively; P= 0.047). CONCLUSION: • The prepubic approach has a lower incidence of serious complications with shorter operation duration and shorter hospital stay.
OBJECTIVES: • To assess the impact of both prepubic and perineal urethrectomy on the complication rate and grade when cysto-urethrectomy is planned. • To review the perioperative complications of radical cysto-urethrectomy and grade them according to the modified Clavien classification system. PATIENTS AND METHODS: • A total of 186 radical cysto-urethrectomies were performed between 1984 and 2008 • Patients' charts were retrospectively reviewed, focusing on operation duration, hospital stay and complications arising. • According to this new classification, perioperative complications were stratified into five grades. RESULTS: • Prepubic urethrectomy was done in 71 patients (group I) while perineal urethrectomy was done in 115 patients (group II). • The mean operation duration was significantly lower in group I than in group II (173.8 and 208.9 min in groups I and II, respectively; P= 0.003). • There were a total of 46 perioperative complications in 186 (24.7%) patients, 21 (29.5%) in the prepubic group and 25 (21.1%) in the perineal group. • There were 19 (90.5%) and 18 (72%) low-grade (G1-3) complications in the prepubic and perineal groups, respectively, and two (9.5%) and seven (28%) high-grade (G4-5) complications in the prepubic and perineal groups, respectively (P= 0.033). • The mean hospital stay was significantly lower in group I than in group II (14.5 and 17.6 days in groups I and II, respectively; P= 0.047). CONCLUSION: • The prepubic approach has a lower incidence of serious complications with shorter operation duration and shorter hospital stay.
Authors: Ekaterina Laukhtina; Axelle Boehm; Benoit Peyronnet; Carlo Andrea Bravi; Jose Batista Da Costa; Francesco Soria; David D'Andrea; Pawel Rajwa; Fahad Quhal; Takafumi Yanagisawa; Frederik König; Hadi Mostafaei; Dmitry Enikeev; Alexandre Ingels; Gregory Verhoest; Frederiek D'Hondt; Alexandre Mottrie; Steven Joniau; Hendrik Van Poppel; Alexandre de la Taille; Karim Bensalah; Franck Bruyère; Shahrokh F Shariat; Benjamin Pradere Journal: World J Urol Date: 2022-05-20 Impact factor: 3.661
Authors: Giuseppe Lucarelli; Marco Spilotros; Antonio Vavallo; Silvano Palazzo; Carlos Miacola; Saverio Forte; Matteo Matera; Marcello Campagna; Ottavio Colamonico; Francesco Schiralli; Francesco Sebastiani; Federica Di Cosmo; Carlo Bettocchi; Giuseppe Di Lorenzo; Carlo Buonerba; Leonardo Vincenti; Giuseppe Ludovico; Pasquale Ditonno; Michele Battaglia Journal: Medicine (Baltimore) Date: 2016-05 Impact factor: 1.889