Emily English1, Megan Solomon2, Bertha Chen3, Lisa Rogo-Gupta4. 1. Department of Obstetrics and Gynecology, Stanford, CA, USA. 2. Stanford University School of Medicine, Stanford, CA, USA. 3. Department of Obstetrics and Gynecology, Urogynecology and Pelvic Reconstructive Surgery, Stanford University School of Medicine, 300 Pasteur Drive, HG 332, Stanford, CA, 94305, USA. 4. Department of Obstetrics and Gynecology, Urogynecology and Pelvic Reconstructive Surgery, Stanford University School of Medicine, 300 Pasteur Drive, HG 332, Stanford, CA, 94305, USA. lrgupta@stanford.edu.
Abstract
INTRODUCTION AND HYPOTHESIS: Complications of pelvic organ prolapse and urinary incontinence surgery have gained increasing attention from both lay media and medical societies. The International Urogynecological Association and International Continence Society proposed the category-time-site system to classify complications in 2011. Our objective is to assess the usage of the category-time-site system in the literature. METHODS: We conducted a systematic review and identified records using PubMed search terms "mesh" and "prolapse or incontinence" and "complication or excision" (February 2011 to December 2015) to select publications following the introduction of category-time-site system. Relevant publications were included and reviewed for study design, initial procedure, number of patients assigned codes, number of unique codes applied, purpose of assigning codes, and duration of clinical follow-up. RESULTS: Of 167 eligible records, 23 (14 %) used the system, 137 (82 %) used no system, and 7 (4 %) used another system. They included three study designs: randomized control trials, case reports, and case series. Given the very limited amount of data, no statistical tests were performed, but trends were noted. CONCLUSIONS: Fourteen percent of the reports in the literature describing complications related to prosthesis/graft use in pelvic surgery utilize the category-time-site system. The system's limited and inconsistent use hinders the ability to draw conclusions useful for clinical practice. Effort should be directed toward improving appropriate usage or revising the system to increase its exposure in related publications. An improved system will better prepare pelvic surgeons for assessing future generations of prostheses/grafts.
INTRODUCTION AND HYPOTHESIS: Complications of pelvic organ prolapse and urinary incontinence surgery have gained increasing attention from both lay media and medical societies. The International Urogynecological Association and International Continence Society proposed the category-time-site system to classify complications in 2011. Our objective is to assess the usage of the category-time-site system in the literature. METHODS: We conducted a systematic review and identified records using PubMed search terms "mesh" and "prolapse or incontinence" and "complication or excision" (February 2011 to December 2015) to select publications following the introduction of category-time-site system. Relevant publications were included and reviewed for study design, initial procedure, number of patients assigned codes, number of unique codes applied, purpose of assigning codes, and duration of clinical follow-up. RESULTS: Of 167 eligible records, 23 (14 %) used the system, 137 (82 %) used no system, and 7 (4 %) used another system. They included three study designs: randomized control trials, case reports, and case series. Given the very limited amount of data, no statistical tests were performed, but trends were noted. CONCLUSIONS: Fourteen percent of the reports in the literature describing complications related to prosthesis/graft use in pelvic surgery utilize the category-time-site system. The system's limited and inconsistent use hinders the ability to draw conclusions useful for clinical practice. Effort should be directed toward improving appropriate usage or revising the system to increase its exposure in related publications. An improved system will better prepare pelvic surgeons for assessing future generations of prostheses/grafts.
Authors: José Tadeu Nunes Tamanini; Mirce Milhomem da Mota Tamanini; Renata Cristina de Oliveira Souza Castro; Paulo Cezar Feldner; Rodrigo de Aquino Castro; Marair Gracio Ferreira Sartori; Manoel João Batista Castello Girão Journal: Int Braz J Urol Date: 2013 Jul-Aug Impact factor: 1.541
Authors: Farzeen Firoozi; Michael S Ingber; Courtenay K Moore; Sandip P Vasavada; Raymond R Rackley; Howard B Goldman Journal: J Urol Date: 2012-03-15 Impact factor: 7.450
Authors: Christine E Skala; Karin Renezeder; Stefan Albrich; Alexander Puhl; Rosa M Laterza; Gert Naumann; Heinz Koelbl Journal: Eur J Obstet Gynecol Reprod Biol Date: 2011-08-06 Impact factor: 2.435