Table 3.
Complications in the present series classified according to the modified Clavien system
Grade | Complication | Management |
---|---|---|
I | Hematuria (n = 5) ± blood clot retention (n = 5) | Bedside bladder irrigation (prolonged) ± clot evacuation ± catheter traction |
Catheter malfunction due to either clot or chip block (n = 3) | Bedside catheter change | |
Acute urinary retention after catheter removal (n = 4) | Bedside recatheterization | |
Transient elevation of serum creatinine (n = 2) | Watchful regulation of fluid balance | |
Low urinary tract infection (n = 7) | Antibiotics | |
II | Intraoperative hemorrhage/Hematuria (n = 8) | Transfusion |
Urinary tract infection with signs of bacteremia (n = 2) | Antibiotics | |
Supraventricular tachycardia (n = 2) | Antiarrythmic agents | |
Pulmonary embolism (n = 1) | Anticoagulants | |
IIIb | Extraperitoneal fluid collection due to subtrigonal catheter location and malfunction (n = 1) | Endoscopic catheter reposition and surgical drainage under anesthesia |
IVa | Acute myocardial infarction (n = 2) | Admission to intensive care unit |
IVb | Transurethral resection syndrome (n = 1) | Admission to intensive care unit |
V | Death (n = 1) |