The International Urogynecological Association/International Continence Society classification of complications of prosthesis and graft insertion: Pros and cons and a review of the literature

Murat Yassa,Ozan Doğan

doi:10.4274/jtgga.galenos.2019.2019.0036

Abstract

International Urogynecological Association (IUGA) and the International Continence Society (ICS) and the Joint IUGA/ICS Working Group on Complications Terminology formulated a standardized terminology and classification of complications related to the use of prosthesis in female pelvic floor surgeries. It was mainly purposed to globally standardize the complications and related definitions in order to obtain factual rates and to enable comparisons and surgical audits. Although this unique classification has frequently been cited in the literature, some concerns have been raised against its complexity of use and inter- and intraobserver variability. This review aimed to discuss the rationale behind the IUGA/ICS complication classification system, underline the opposing views, and provide the Turkish version of an online calculator facilitating the universal coding to increase the utility.

Highlights

The International Urogynecological Association (IUGA) and the International Continence Society (ICS) and the Joint IUGA/ICS Working Group on Complications Terminology formulated a standardized terminology and classification of complications related to the use of prosthesis in female pelvic floor surgeries [1]
It was mainly purposed to globally standardize the complications and related definitions in order to obtain factual rates and to enable comparisons and surgical audits. This unique classification currently has over 150 citations, some concerns has been raised against its complexity of use and inter- and intraobserver variability [2,3]. This non-systematic review aimed to discuss the rationale behind the IUGA/ICS complication classification system, underline the opposing views, and provide the Turkish version of an online calculator facilitating the universal coding to increase the utility (Supplement)
Due to the inconsistent and increasing reports of complication rates, the IUGA and ICS proposed a well-detailed but inclusive classification system of complications related to the use of all types of prostheses including meshes, implants, tapes, and grafts in female pelvic floor surgery [1]

Summary

Introduction

The International Urogynecological Association (IUGA) and the International Continence Society (ICS) and the Joint IUGA/ICS Working Group on Complications Terminology formulated a standardized terminology and classification of complications related to the use of prosthesis in female pelvic floor surgeries [1]. It was mainly purposed to globally standardize the complications and related definitions in order to obtain factual rates and to enable comparisons and surgical audits Due to the inconsistent and increasing reports of complication rates, the IUGA and ICS proposed a well-detailed but inclusive classification system of complications related to the use of all types of prostheses including meshes, implants, tapes, and grafts in female pelvic floor surgery [1]. Complications linked to the bulking agents are not included

Literature and opposing views

Conclusion

Findings

Vajinal