Intravesical migration of hem-o-lok after laparoscopic radical prostatectomy
Keywords:
Surgical clips, complications, prostatectomy, obstruction of the neck of the urinary bladder.Abstract
Laparoscopic radical prostatectomy (PRL) uses hem-o-lok (HL), which are polymer clips for hemostatic control that have shown safety and efficacy. However, these can migrate from the site where they are placed to other locations. The objective of the article is to comment on the clinical presentation, diagnosis and treatment of a patient who presented the intravesical migration of HL-type clips after a PRL. A 55-year-old patient who came to the consultation for burning and voiding difficulty eight months after a PRL was performed is presented. Ultrasonography and simple abdomino-pelvic computed tomography suspected the presence of bladder lithiasis. However, panendoscopy confirmed the diagnosis of intravesical HL clips and allowed their removal. In conclusion, imaging studies are insufficient to detect intravesical migration of hem-o-lok clips and are often confused with bladder lithiasis. Panendoscopy is the diagnostic and therapeutic method of choice in this type of case.
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References
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13. Ule J, Hwang H-W, Darnell RB. The Future of Cross-Linking and Immunoprecipitation (CLIP). Cold Spring Harbor perspectives in biology. 2018 [acceso 28/07/2020];10(8). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6071486/
2. Shrivastava P, Nayak B, Singh P. Migrated Hem-o-Lok clips in the ureter: a rare cause of recurrent urinary tract infection. BMJ Case Rep. 2017 [acceso 14/01/2020];2017. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318586/
3. Kiremit MC, Koseoglu E, Acar O, Kilic M, Kordan Y, Canda AE, et al. Distal ureteral stone formation over migrated Hem-o-lok clip after robot-assisted partial nephrectomy. Int J Surg Case Rep. 2019 [acceso 23/07/2020];58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6514724/
4. Park DJ, Kim BG, Jeong ID, Kim GY. Silent invasion of Hem-O-Lok clip. Ann Surg Treat Res. 2018 [acceso 23/07/2020];94(3). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842089/
5. Kou K, Liu X, Hu Y, Luo F, Sun D, Wang G, et al. Hem-o-lok clip found in the common bile duct 3 years after laparoscopic cholecystectomy and surgical exploration. J Int Med Res. 2019 [acceso 23/07/2020];47(2). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381503/
6. Yi JS, Kwak C, Kim HH, Ku JH. Surgical clip-related complications after radical prostatectomy. Korean J Urol. 2010 [acceso 23/07/2020];51(10). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2963780/pdf/kju-51-683.pdf
7. Chen G-H, Zhu T-M, Xu X-L, Jiang K-X. Migration of metal clips into the duodenum after laparoscopic cholecystectomy: A report of two cases. J Int Med Res. 2018 [acceso 25/07/2020];46(6). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023034/
8. Tourinho-Barbosa RR, Tobías-Machado M, Castro-Alfaro A, Ogaya-Pinies G, Cathelineau X, Sánchez-Salas R. Complications in robotic urological surgeries and how to avoid them: A systematic review. Arab J Urol. 2017 [acceso 22/03/2021];16(3). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104661/
9. Demirdağ Ç, Çitgez S, Öbek C. Clavien System Classification of Complications Developed following Laparoscopic Urological Operations Applied in our Clinic. Sisli Etfal Hastanesi tip bulteni 2019 [acceso 28/07/2020];53(3). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192280/
10. Vedel PF, Wittendorf H-E, Norus TP. Migration of clips to the colon after laparoscopic partial nephrectomy. BMJ Case Rep. 2017 [acceso 28/07/2020];2017. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534740/
11. Sharma V, Karnes RJ, Viers BR. Treatment outcomes of bladder neck contractures from surgical clip erosion: a matched cohort comparison. Transl Androl Urol. 2020 [acceso 27/07/2021];9(1). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995924/
12. Mumme AM, Cham J. Filshie clip migration with multiple groin hernias: a case report. J Med Case Rep. 2015 [acceso 14/01/2020];9:(187). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561450/
13. Ule J, Hwang H-W, Darnell RB. The Future of Cross-Linking and Immunoprecipitation (CLIP). Cold Spring Harbor perspectives in biology. 2018 [acceso 28/07/2020];10(8). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6071486/
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Published
2022-01-01
How to Cite
1.
Quintana Rodríguez M, González León T, Sánchez Tamaki R, Hernández Campoalegre M. Intravesical migration of hem-o-lok after laparoscopic radical prostatectomy. Rev. Cubana Urol. [Internet]. 2022 Jan. 1 [cited 2025 Apr. 30];11(1):62-8. Available from: https://revurologia.sld.cu/index.php/rcu/article/view/742
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