Peri-Operative Complications and Adverse Events in Urological Surgery: How to Assess, Prevent, and Manage Them

A special issue of Complications (ISSN 2813-4966).

Deadline for manuscript submissions: closed (31 October 2024) | Viewed by 1849

Special Issue Editors


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Guest Editor
Institute of Urology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA
Interests: surgery; complications reporting; bladder cancer; artificial intelligence; patients safety; urology; minimally invasive surgery; adverse events; evidence-based medicine; quality reporting improvement
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Guest Editor
Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy
Interests: prostate cancer; kidney cancer; bladder cancer; robotic surgery; minimally invasive surgery; image-guided surgery; benign prostatic hyperplasia

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Guest Editor
1. Department of Urology, Solothurner Spitäler AG, Kantonsspital Olten Bürgerspital Solothurn, Solothurn, Switzerland
2. Department of Urology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Interests: uro-oncology; reconstructive urology

Special Issue Information

Dear Colleagues,

This Special Issue, titled “Peri-Operative Complications and Adverse Events in Urological Surgery: How to Assess, Prevent, and Manage Them”, is a comprehensive compendium focused on enhancing patient care through a critical examination of safety and outcomes in urologic surgeries. It invites contributions across four distinct but interrelated article types (see below).

Contributors to this Special Issue will play a pivotal role in advancing our understanding of peri-operative complications in urological surgery, ultimately steering the field towards safer, more effective patient care practices.

The following articles will be welcome:

  • Case Series (comparative and non-comparative): A Case Series in this context would detail a group of patients who experienced similar surgical complications or adverse events. The article should provide in-depth analyses of the patients’ preoperative conditions, the surgical procedures performed, the nature of the complications, the clinical management that followed, and the outcomes. The emphasis is on revealing patterns that could guide future surgical practice to mitigate such risks.
  • How to avoid and manage complications: This type of article is usually practical in nature, offering clinicians strategies and guidelines for preventing and handling complications related to specific medical procedures or conditions. It combines evidence-based practices with expert opinions to furnish a comprehensive guide on the subject. Such articles should be grounded in recent research and include case examples where appropriate. Algorithms on how to avoid and/or manage the complications are suggested.
  • Systematic reviews: Systematic Reviews are exhaustive summaries of the literature on a particular topic. They follow a rigorous methodology to search for, appraise, and synthesize research evidence. Articles of this nature should focus on a clearly formulated question and use explicit methods to identify, select, and critically appraise relevant research, as well as collect and analyze data from the studies that are included in the review.
  • Perspective Pieces: Perspective Pieces would offer expert opinions on the broader aspects of surgical complications and adverse events. Authors might discuss the ethical considerations of surgical risk, the impact of new technologies on patient safety, the systems-based approaches to improving surgical outcomes, or the socio-economic implications of complication management. These articles should stimulate thoughtful discussion and provide insights that extend beyond the individual case level to the system as a whole.

Dr. Giovanni E. Cacciamani
Dr. Paolo Dell'Oglio
Dr. Marc Alain Furrer
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Complications is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • complications
  • adverse events
  • surgical complications
  • urological surgery

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Published Papers (2 papers)

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Research

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8 pages, 219 KiB  
Article
Management of Complications in Laparoscopic Sacrocolpopexy: Focus on Urinary Incontinence
by Manuel Saavedra Centeno, Paola Calleja Hermosa, Clara Sánchez Guerrero, Ana Sánchez Ramírez, Clara Velasco Balanza, Lira Pelari Mici, Miguel Rebassa Llul, Miguel Jiménez Cidre, Eduardo Morán Pascual, Salvador Arlandis Guzmán, Esther Martínez-Cuenca, José Miguel Gómez de Vicente, Mercedes Ruiz Hernández, Javier Casado Varela, Luis Alberto San José Manso, Jorge Mora Gurrea, María Pérez Polo, Carlos Errando Smet and Luis López-Fando Lavalle
Complications 2025, 2(2), 11; https://doi.org/10.3390/complications2020011 - 11 Apr 2025
Viewed by 247
Abstract
Pelvic organ prolapse (POP) is a prevalent condition worldwide with detrimental effects on patients’ quality of life. Laparoscopic sacrocolpopexy (LSC) has emerged as the gold standard for managing complex and high-grade POP. While anatomical and subjective outcomes have been extensively documented, the management [...] Read more.
Pelvic organ prolapse (POP) is a prevalent condition worldwide with detrimental effects on patients’ quality of life. Laparoscopic sacrocolpopexy (LSC) has emerged as the gold standard for managing complex and high-grade POP. While anatomical and subjective outcomes have been extensively documented, the management of its associated complications, particularly urinary incontinence, remains challenging. This study evaluates the strategies implemented to address complications arising from LSC, focusing on urinary incontinence. A retrospective multicenter study analyzed 325 patients who underwent LSC using lightweight macroporous Surelift Uplift mesh between 2011 and 2019. Data on perioperative and long-term complications, with emphasis on urinary incontinence management, were extracted from participating centers. Among them, the incidence of new-onset stress urinary incontinence (SUI) postoperatively was 12.9%. A total of 21 patients required further treatment for urinary symptoms, including mid-urethral sling (MUS) procedures in 5.5% and botulinum toxin injections for overactive bladder (OAB) in 0.9%. The findings underscore the importance of proactive and tailored management strategies for urinary incontinence following LSC. While the procedure demonstrates low complication rates and high anatomical success, urinary symptoms require vigilant monitoring and intervention in a two-step procedure for stress incontinence, if needed. Full article

Review

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11 pages, 237 KiB  
Review
Complications in Percutaneous Nephrolithotomy
by Rebeca Escobar Monroy, Silvia Proietti, Federico De Leonardis, Stefano Gisone, Riccardo Scalia, Luca Mongelli, Franco Gaboardi and Guido Giusti
Complications 2025, 2(1), 5; https://doi.org/10.3390/complications2010005 - 10 Feb 2025
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Abstract
Purpose: Percutaneous nephrolithotomy (PCNL) is the gold-standard treatment for large renal calculi. Despite its efficacy, complications can occur. This narrative review aims to classify, manage, and prevent PCNL complications, emphasizing risk factors and strategies to optimize outcomes. Findings: PCNL is a safe and [...] Read more.
Purpose: Percutaneous nephrolithotomy (PCNL) is the gold-standard treatment for large renal calculi. Despite its efficacy, complications can occur. This narrative review aims to classify, manage, and prevent PCNL complications, emphasizing risk factors and strategies to optimize outcomes. Findings: PCNL is a safe and highly effective procedure for the management of renal stones. Risk factors include patient comorbidities, stone complexity, prolonged surgical time, and improper access. Proactive measures, such as accurate imaging, antibiotic prophylaxis, and careful surgical techniques, reduce complication rates. Although certain complications may affect surgical outcomes, most are effectively managed through conservative or minimally invasive approaches. Proficiency in the technique is essential for reducing the risk of complications. Conclusions: Understanding the classification, risk factors, and management of PCNL complications is essential for optimizing patient outcomes. Comprehensive preoperative planning, meticulous surgical technique, and tailored postoperative care are critical for minimizing risks and improving procedural safety. Full article
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