Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS)
Objective:: The aim of this review is to evaluate existing classification systems for surgical complications in male stress urinary incontinence (SUI) management, specifically highlighting the limitations of the widely used Clavien–Dindo classification in addressing infection-related complications....
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Continence |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973724009949 |
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| author | Andrey Tomilov Evgeniy Veliev George Kasyan Elena Golubtsova Bagrat Grigoryan Zurab Bagatelia Dmitry Pushkar |
| author_facet | Andrey Tomilov Evgeniy Veliev George Kasyan Elena Golubtsova Bagrat Grigoryan Zurab Bagatelia Dmitry Pushkar |
| author_sort | Andrey Tomilov |
| collection | DOAJ |
| description | Objective:: The aim of this review is to evaluate existing classification systems for surgical complications in male stress urinary incontinence (SUI) management, specifically highlighting the limitations of the widely used Clavien–Dindo classification in addressing infection-related complications. Additionally, this review introduces a novel reporting system, the pragmatic Complication Reporting System for Male Stress Urinary Incontinence Surgeries (COMUS), designed to improve the classification of complications and enhance clinical outcomes. Evidence Acquisition:: SUI is a frequent postoperative complication that significantly impairs the quality of life in patients following surgeries for both malignant and benign prostate diseases. Surgical interventions such as artificial urinary sphincter and sling implantation carry a risk of complications, necessitating a robust system for evaluating and comparing outcomes. The Clavien–Dindo classification, although widely used, fails to adequately address the specific challenges in managing male SUI, particularly in relation to infections. Results:: The newly developed pragmatic COMUS system classifies complications based on the level of intervention required for resolution, distinguishing between invasive and non-invasive treatments. Furthermore, it accounts for infection-related complications, which are often not fully addressed in other classification systems. Conclusion:: The pragmatic COMUS system improves upon existing frameworks by incorporating infection management and grading complications according to treatment needs. This more comprehensive classification enhances the accuracy of outcome evaluation, ultimately aiding clinicians in making better-informed decisions for managing male stress urinary incontinence. |
| format | Article |
| id | doaj-art-138aaf4cf8304ccdbe786935fe11a9fd |
| institution | Kabale University |
| issn | 2772-9737 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj-art-138aaf4cf8304ccdbe786935fe11a9fd2024-12-12T05:24:44ZengElsevierContinence2772-97372024-12-0112101719Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS)Andrey Tomilov0Evgeniy Veliev1George Kasyan2Elena Golubtsova3Bagrat Grigoryan4Zurab Bagatelia5Dmitry Pushkar6Moscow Urology Center, Botkin Hospital, Moscow, Russia; Russian Medical Academy of Postgraduate Education, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Russian Medical Academy of Postgraduate Education, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Russian Medical Academy of Postgraduate Education, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, Russia; Correspondence to: Urology Department of Russian University of Medicine, Botkin’s Hospital Moscow Urological Center, 2nd Botkinsky pr-d, 5, Moscow, 125284, Russian FederationMoscow Urology Center, Botkin Hospital, Moscow, Russia; Russian Medical Academy of Postgraduate Education, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaObjective:: The aim of this review is to evaluate existing classification systems for surgical complications in male stress urinary incontinence (SUI) management, specifically highlighting the limitations of the widely used Clavien–Dindo classification in addressing infection-related complications. Additionally, this review introduces a novel reporting system, the pragmatic Complication Reporting System for Male Stress Urinary Incontinence Surgeries (COMUS), designed to improve the classification of complications and enhance clinical outcomes. Evidence Acquisition:: SUI is a frequent postoperative complication that significantly impairs the quality of life in patients following surgeries for both malignant and benign prostate diseases. Surgical interventions such as artificial urinary sphincter and sling implantation carry a risk of complications, necessitating a robust system for evaluating and comparing outcomes. The Clavien–Dindo classification, although widely used, fails to adequately address the specific challenges in managing male SUI, particularly in relation to infections. Results:: The newly developed pragmatic COMUS system classifies complications based on the level of intervention required for resolution, distinguishing between invasive and non-invasive treatments. Furthermore, it accounts for infection-related complications, which are often not fully addressed in other classification systems. Conclusion:: The pragmatic COMUS system improves upon existing frameworks by incorporating infection management and grading complications according to treatment needs. This more comprehensive classification enhances the accuracy of outcome evaluation, ultimately aiding clinicians in making better-informed decisions for managing male stress urinary incontinence.http://www.sciencedirect.com/science/article/pii/S2772973724009949Urinary incontinenceArtificial urinary sphincterAUS |
| spellingShingle | Andrey Tomilov Evgeniy Veliev George Kasyan Elena Golubtsova Bagrat Grigoryan Zurab Bagatelia Dmitry Pushkar Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS) Continence Urinary incontinence Artificial urinary sphincter AUS |
| title | Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS) |
| title_full | Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS) |
| title_fullStr | Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS) |
| title_full_unstemmed | Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS) |
| title_short | Pragmatic reporting system for complications of male stress urinary incontinence surgeries (COMUS) |
| title_sort | pragmatic reporting system for complications of male stress urinary incontinence surgeries comus |
| topic | Urinary incontinence Artificial urinary sphincter AUS |
| url | http://www.sciencedirect.com/science/article/pii/S2772973724009949 |
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