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An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related to native tissue female pelvic floor surgery

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Abstract

Introduction and hypothesis

A terminology and standardized classification has yet to be developed for those complications related to native tissue female pelvic floor surgery.

Methods

This report on the terminology and classification combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS) and a Joint IUGA/ICS Working Group on Complications Terminology, assisted at intervals by many external referees. A process of rounds of internal and external review took place with decision making by collective opinion (consensus).

Results

A terminology and classification of complications related to native tissue female pelvic floor surgery has been developed, with the classification based on category (C), time (T), and site (S) classes and divisions that should encompass all conceivable scenarios for describing operative complications and healing abnormalities. The CTS code for each complication, involving three (or four) letters and three numerals, is likely to be very suitable for any surgical audit or registry, particularly one that is procedure-specific. Users of the classification have been assisted by case examples, colour charts and online aids (www.icsoffice.org/ntcomplication).

Conclusions

A consensus-based terminology and classification report for complications in native tissue female pelvic floor surgery has been produced. It is aimed at being a significant aid to clinical practice and particularly to research.

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References

  1. Haylen BT, Freeman RM, Swift SE, Cosson M, Davila GW, Deprest J, Dwyer PL, Fatton B, Kocjancic E, Lee J, Maher C, Petri E, Rizk DE, Sand PK, Schaer GN, Webb RJ (2011) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Int Urogynecol J 22:3–15, and Neurourol Urodyn 30: 5–15

    Article  PubMed  Google Scholar 

  2. Stedman’s Medical Dictionary (2006) Lippincott, Williams and Wilkins. Baltimore. U.S.A.

  3. Concise Oxford Dictionary (1995) Clarendon Press. Oxford

  4. Amid P (1997) Classification of biomaterials and their relative complications in an abdominal wall hernia surgery. Hernia 1:15–21

    Article  Google Scholar 

  5. Rosch R, Junge K, Hölzl F et al (2004) How to construct a mesh. In: Schumpelick V, Nyhus LM (eds) Meshes: benefits and risks. Springer, Berlin, pp 179–184

    Chapter  Google Scholar 

  6. Deprest J, Zheng F, Konstantinovic M et al (2006) The biology behind fascial defects and the use of implants in pelvic organ prolapse repair. Int Urogynecol J 17:S16–S25

    Article  Google Scholar 

  7. Schmid C, O’Rouke P, Maher C (2011) Vaginal invagination. Int Urogynecol J Pelvic Floor Dysfunct 22(Suppl 1):S53–S54. doi:10.1007/s00192-011-1434-z, 22

    Google Scholar 

  8. Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for pelvic floor dysfunction. Int Urogynecol J 21:5–26, and Neurourol Urodyn 29:4–20

    Article  PubMed  Google Scholar 

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Acknowledgements

The co-authors acknowledge the support and goodwill of the IUGA and ICS leadership in this third Joint Report from the two Societies, following on from the Joint Reports on (1) Terminology for Female Pelvic Floor Dysfunction [8] and (2) Prostheses and Graft Complications [1]. We thank Mr. Dominic Turner and Mr. Ashley Brookes from the ICS Office for their assistance and expertise in developing the online aids to the previous document [1] and, to a lesser degree, the current document. Dr. Paul Moran from the British Society of Urogynaecology has also assisted in the progress towards an ICS-IUGA Registry of Prosthesis and Graft Complications.

This document has involved five rounds of full review by co-authors and website publication. The comments of the following external referees are gratefully acknowledged: Professor Linda Cardozo, Professor Mary Fitzgerald, Professor Elisabeth Constantini, Professor Peter Dietz, Professor Gamal Ghoniem, Professor Biagio Adile, Dr. Andri Nieuwoudt, Dr. Luis Abranches, Dr. Jia Wen, Dr. Giuseppe Di Paola, Dr. Antoine van Vijfeijken, Dr. Pail de Flamingh, Mr. P Jamjute, Mr. Declan Keane, Dr. Ahmed el Ghiaty, Dr. Joseph Gauta, Dr. Annette Holden.

Additional case examples and photos from Professor Peter Petros, Dr. Anna Rosamilia, Professor Judith Gow, Dr. Hanna Krause and Dr. Ian Tucker have been greatly appreciated.

Conflicts of interest

BT Haylen: No disclosures

RM Freeman: Educational meetings: Astellas and Pfizer. All income from commercial trials and some of the honoraria go to his research fund. Locality lead for the NIHR Peninsula Collaboration for Leadership in Applied Health Research and Care (PenCLAHRC). PROSPECT: A grant holder for this nationally funded trial of prolapse surgery.

J Lee: AMS: Acceptance of paid travel expenses or honoraria. AMS: Acceptance of payment for research (AMS external research grant).

SE Swift: Pfizer: Acceptance of paid travel expenses or honoraria; Acceptance of payment for research. Astellas: Consultant.

M Cosson: Ethicon: Acceptance of paid travel expenses or honoraria; Acceptance of payment for research; Consultant. AMS: Acceptance of paid travel expenses and honoraria; Acceptance of payment for research; Consultant.

J Deprest: AMS: Acceptance of paid travel expenses or honoraria; Acceptance of payment for research; Consultant. Bard: Acceptance of paid travel expenses or honoraria; Consultant. Ethicon (J and J): Acceptance of paid travel expenses or honoraria; Acceptance of payment for research; Consultant. Dynamesh: Acceptance of payment for research.

PL Dwyer: Department research grant from American Medical Systems (AMS).

B Fatton: Astellas: Consultant. Coloplast: Acceptance of payment for research. Ethicon (J and J): Acceptance of paid travel expenses or honoraria. Novartis: Consultant.

E Kocjancic: Coloplast: Consultant. Bard: Acceptance of paid travel expenses or honoraria. AMS: Shareholder. Astellas: Consultant. Pfizer: Acceptance of paid travel expenses or honoraria.

C Maher: Director, Urogynaecology Society of Australasia

E Petri: No disclosures.

DE Rizk: No disclosures.

GN Schaer: Astellas: Holding a position of influence in another professional society/association. Pfizer: Holding a position of influence in another professional society/association. Gynecare (Ethicon): Holding a position of influence in another professional society/association. Novartis: Holding a position of influence in another professional society/association

R Webb: Travel bursaries or honoraria: Pfizer or Astellas. Lecture fees: (departmental) Pfizer, Astellas. Research: Allergan Astellas.

Author information

Authors and Affiliations

  1. University of New South Wales, Sydney, NSW, Australia

    Bernard T. Haylen

  2. Derriford Hospital, Plymouth, Devon, UK

    Robert M. Freeman

  3. Monash Medical Centre, Melbourne, VIC, Australia

    Joseph Lee

  4. Medical University of South Carolina, Charleston, SC, USA

    Steven E. Swift

  5. University Hospital, Lille, France

    Michel Cosson

  6. University Hospital, UZ Leuven, Belgium

    Jan Deprest

  7. Mercy Hospital for Women, Melbourne, VIC, Australia

    Peter L. Dwyer

  8. University Hospital, Clermont-Ferrand, France

    Brigitte Fatton

  9. Department of Urology, University of Illinois, Chicago, IL, USA

    Ervin Kocjancic

  10. Wesley Hospital, Brisbane, QLD, Australia

    Chris Maher

  11. Urogynaecology Department, University of Greifswald, Greifswald, Germany

    Eckhard Petri

  12. Peterborough, ON, Canada

    Diaa E. Rizk

  13. Kantonsspital, Aarau, Switzerland

    Gabriel N. Schaer

  14. Norfolk & Norwich University Hospital, Norfolk, UK

    Ralph Webb

  15. St Vincent’s Clinic, Suite 904, 438 Victoria Street, Darlinghurst, 2010, NSW, Australia

    Bernard T. Haylen

Authors
  1. Bernard T. Haylen
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  2. Robert M. Freeman
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  3. Joseph Lee
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  4. Steven E. Swift
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  5. Michel Cosson
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  6. Jan Deprest
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  7. Peter L. Dwyer
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  8. Brigitte Fatton
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  9. Ervin Kocjancic
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  10. Chris Maher
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  11. Eckhard Petri
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  12. Diaa E. Rizk
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  13. Gabriel N. Schaer
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  14. Ralph Webb
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Corresponding author

Correspondence to Bernard T. Haylen.

Additional information

International Urogynecology Journal, Vol. 23, No. 5, 2012. Copyright 2012. This material is reproduced with permission of Wiley-Liss, Inc., a subsidiary of John Wiley & Sons, Inc., and the International Urogynecological Association.

This document is being published simultaneously in Neurourology and Urodynamics (NAU) and the International Urogynecology Journal (IUJ), the respective journals of the sponsoring organizations, the International Continence Society (ICS) and the International Urogynecological Association (IUGA) in the closest issue of each journal to the end of April, 2012.

Standardization and Terminology Committee (IUGA)—Bernard T. Haylen, Robert M. Freeman, Joseph Lee, Steven E. Swift, Peter L. Dwyer, Eckhard Petri, Diaa E. Rizk, Gabriel N. Schaer

Standardization Steering Committee (ICS)—Robert M Freeman, Ralph J. Webb

Joint IUGA/ICS Working Group on Complications Terminology - Bernard T. Haylen, Robert M. Freeman, Steven E. Swift, Michel Cosson, Chris Maher, Jan Deprest, Peter L. Dwyer, Brigitte Fatton, Ralph J. Webb

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Haylen, B.T., Freeman, R.M., Lee, J. et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related to native tissue female pelvic floor surgery. Int Urogynecol J 23, 515–526 (2012). https://doi.org/10.1007/s00192-011-1659-x

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  • DOI: https://doi.org/10.1007/s00192-011-1659-x

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