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.
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.
Authors: Osama M Elashry; Abdelnaser K Elgamasy; Magdy A Sabaa; Mohamed Abo-Elenien; Mohamed Adel Omar; Hassan H Eltatawy; Shawky A El-Abd Journal: BJU Int Date: 2008-05-15 Impact factor: 5.588
Authors: Martin Schoenthaler; Noor Buchholz; Erik Farin; Hammad Ather; Christian Bach; Thorsten Bach; John D Denstedt; Hans-Martin Fritsche; Michael Grasso; Oliver W Hakenberg; Ralf Herwig; Thomas Knoll; Franklin Emmanuel Kuehhas; Evangelos Liatsikos; Peter Liske; Michael Marberger; Palle J S Osther; José Manuel Reis Santos; Kemal Sarica; Christian Seitz; Michael Straub; Olivier Traxer; Alberto Trinchieri; Ben Turney; Arkadiusz Miernik Journal: World J Urol Date: 2013-10-18 Impact factor: 4.226
Authors: Muhammet Fatih Kılınç; Ömer Gökhan Doluoğlu; Tolga Karakan; Ayhan Dalkılıç; Nurettin Cem Sönmez; Cem Nedim Yücetürk; Berkan Reşorlu Journal: Turk J Urol Date: 2016-06
Authors: A J Gross; J Rassweiler; K D Sievert; A Miernik; J Westphal; H Leyh; T R W Herrmann; P Olbert; A Häcker; A Bachmann; R Homberg; J Klein; M Schoenthaler; C Netsch Journal: Urologe A Date: 2017-03 Impact factor: 0.639
Authors: Erhan Demirelli; Ercan Öğreden; Doğan Sabri Tok; Özay Demiray; Mehmet Karadayi; Ural Oğuz Journal: Rev Assoc Med Bras (1992) Date: 2022-08 Impact factor: 1.712
Authors: B K Somani; G Giusti; Y Sun; P J Osther; M Frank; M De Sio; B Turna; J de la Rosette Journal: World J Urol Date: 2016-08-04 Impact factor: 4.226
Authors: O Bayrak; A Demirbas; O G Doluoglu; T Karakan; B Resorlu; S Kardas; A Tepeler; S Tangal; S Adanur; O Celik Journal: Braz J Med Biol Res Date: 2016-11-17 Impact factor: 2.590