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Table 3 Overview of late complications (>3 months) (pouch and non-pouch-related) by the Clavien–Dindo classification in 111 patients

From: The N-shaped orthotopic ileal neobladder: functional outcomes and complication rates in 119 patients

Clavien–Dindo score (CCS) Number of complications (%)
Major
 V 1 (0.9 %)
 IV  
  a 4 (3.6 %)
  b 0 (0 %)
 III  
  a 2 (1.8 %)
  b 49 (44.1 %)
Minor
 II 28 (25.2 %)
 I 11 (9.9 %)
Complication N (%) CCS Treatment
Late pouch-related complications
Major
 Death (abscess formation in base of penis after false-passage catheterization, resulting in sepsis + multiple organ failure) 1 (0.9 %) V Debridement + Intensive care
 Loss of renal unit 2 (1.8 %) IVa Conservative
 Ischemic perforation of neobladder 1 (0.9 %) IVa Laparotomy + Intensive care
 Urosepsis 1 (0.9 %) IVa Intensive care + Conservative therapy
 Pouch calculi 8 (7.2 %) IIIb Laser lithotripsy
 Neovesicourethral stenosis 11 (9.9 %) IIIb Internal optical urethrotomy (4×)
Transurethral resection (5×)
Dilatation under general anesthesia (2×)
 Ureteroneovesical stenosis 6 (5.4 %) IIIb Ureteral reimplantation (4×)
Lifelong single-J stenting (2×)
 Stress incontinence 2 (1.8 %) IIIb Single incision mid-urethral sling (1×)
Fascia lata sling (1×)
 Mucus obstruction 1 (0.9 %) IIIb Endoscopic evaluation
 Neovesicocutaneous fistula 1 (0.9 %) IIIb Open excision
 Neovesicorectal fistula 1 (0.9 %) IIIb Laparotomy + Conversion to ileal conduit
 Hypercontractile neobladder with severe incontinence 1 (0.9 %) IIIb Laparotomy + Conversion to ileal conduit
 Ureterolithiasis 1 (0.9 %) IIIa Nephrostomy
 False-passage catheterization 1 (0.9 %) IIIa Endoscopic evaluation
Minor
 Relapsing urinary tract infections and pyelonephritis 26 (23.4 %) II Antibiotics
 Urosepsis 2 (1.8 %) II Antibiotics + Fluid resuscitation
 Mucus obstruction 5 (4.5 %) I Conservative
Late non-pouch-related complications
Major
 Wound herniation 17 (15.3 %) IIIb Open repair
 Small bowel obstruction 1 (0.9 %) IIIb Open adhesiolysis
Minor
 Diarrhea 6 (5.4 %) I Conservative