Table 6: Complications of open prostatectomy classified according to modified Clavien system.
Complications | Grade | n (%) | Management |
Immediate complications | II. Peroperative bleeding | 13 (13) | Blood transfusion |
IVb. Tensional instability | 02 (2) | Adrenaline, Intensive unit care | |
Early complications | I. Fever | 09 (9) | Antipyretics |
I. Transient elevation of serum creatinine | 06 (6) | Hydration | |
I. Failed voiding trial without catheter | 04 (4) | Indwelling bladder catheter | |
I. Stress incontinence | 04 (4) | Muscarinic receptor antagonist | |
I. Transient hematuria | 06 (6) | Bladder washout, irrigation | |
II. Urinary tract infection | 21 (21) | Antibiotic therapy | |
II. Wound infection | 10 (10) | Antibiotic therapy, antiseptic wound dressing | |
II. Epididymo-orchitis | 08 (8) | Antibiotic therapy | |
II. Vesico-parietal fistula | 05 (5) | Prolonged bladder catheter | |
IIIa.Vesico-parietal fistula | 05 (5) | Secondary suturing under local anesthesia | |
IVa. Urosepsis | 02 (2) | Indwelling bladder catheter removal, Urine and blood culture, Antibiotic therapy, Intensive unit care admission | |
V. Death | 02 (2) | - | |
Late complications | IIIa. Urethral stenosis | 02 (2) | Suprapubic cystostomy, differed anastomotic uretroplasty |
IIIb. Textiloma | 01 (1) | Foreign body removal |