Open salvage surgery

There are limited reports of open salvage procedures in the urological literature. Surgical outcome reports from institutions across the world are readily available; however, in-depth discussion about associated complications is sparse. Many reports simply list complications in table format. This stems from the reluctance to discuss complications and associated failures. Although failed operations due to technical error may be difficult to accept, the documentation and recognition of predisposing factors will limit further mishaps. Some outcomes are unavoidable due to the condition of the patient and these cases should serve as reminders that surgery cannot cure every ailment. Being open to sharing our failures and heeding the warnings of others will allow surgeons and patients to gain something positive from these complicated situations.