ROCAMED SIRIUS - Complications for Urology; Complications in Other Medical Specialties

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DGM001519.01 UM Sirius CE/ROTW
Complications for Urology
As with other endoscopic urologic procedures, there may be urine leakage following the laser procedure.
x The use of flexible endoscopes carries a risk of stricture formation; these rates may improve with
further advances in ureteroscope design.
x Although rare, loss of a kidney may occur as a result of the procedure or because of the stone itself.
x Complications following endoscopic BPH management (and other endoscopic treatments for urinary
soft tissues) may include UTI, AUR, urethra stricture, BNS, TUI and haematuria.
x Read General laser complications for a list of additional complications.
Complications for Ureterorenoscopy (URS):
x Minor complications are fever, macro haematuria and pain. In literature, the rate of significant
complications (sepsis, ureter perforation or torn ureter) is repeated to be 3-11%.
x Urinary strictures as a long-term complication have become rare and are estimated to be 1-3%.
Previous ureter perforations represent the key risk factor.
Complications for Percutaneous Kidney Surgery:
The following complications are more prone to occur:
x Fever, sepsis
x Bleedings requiring transfusion
x Absorption of irrigation fluid
x Perforation of the intestine
x Lesion of the pleura
x Sub-pelvic stenosis
x Loss of kidney
x Open revision
Complications in other medical specialties
Complications for ENT Surgery
x Swelling of the nasal membranes may cause nasal airway obstruction for up to one week. Patients
should be followed after treatment to clean the nasal cavity from debris.
x Perforation of the orbit or intracranial cavity may occur as a result of laser treatment. To diagnose
perforations, patients must be carefully followed after treatment with appropriate tests.
x The potential complications for transoral surgery apply when this surgical approach is chosen (e.g.
hoarseness).
Read General laser complications for a list of additional complications.
Complications for Gynaecology
Read General laser complications for a list of additional complications.
Complications for Thoracic and Pulmonary Surgery
x As with the use of stapler, postoperative air leakages may occur
Read General laser complications for a list of additional complications.
Complications for General Surgery
Read General laser complications for a list of additional complications.
Complications for Lithotripsy
x The use of flexible endoscopes carries a risk of stricture formation; these rates may improve with
further advances in ureteroscope design.
x For other complications related specifically to a certain medical specialty, further refer to the relevant
section.