Cargando…
Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy
INTRODUCTION: Hem‐o‐Lok(®) clips are widely used in robot‐assisted radical prostatectomy because of their ease of application and secure clamping. Although there have been some reports of their migration into the urinary tract, this usually occurs a few months after robot‐assisted radical prostatect...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720733/ https://www.ncbi.nlm.nih.gov/pubmed/35005473 http://dx.doi.org/10.1002/iju5.12386 |
_version_ | 1784625185810284544 |
---|---|
author | Ohyama, Takehiro Shimbo, Masaki Endo, Fumiyasu Hattori, Kazunori |
author_facet | Ohyama, Takehiro Shimbo, Masaki Endo, Fumiyasu Hattori, Kazunori |
author_sort | Ohyama, Takehiro |
collection | PubMed |
description | INTRODUCTION: Hem‐o‐Lok(®) clips are widely used in robot‐assisted radical prostatectomy because of their ease of application and secure clamping. Although there have been some reports of their migration into the urinary tract, this usually occurs a few months after robot‐assisted radical prostatectomy. Late‐onset cases of Hem‐o‐Lok(®) clip migration, that is, after more than 1 year, are rare. CASE PRESENTATIONS: We report three cases of delayed endourethral Hem‐o‐Lok(®) clip migration more than 2 years after robot‐assisted radical prostatectomy. The Hem‐o‐Lok(®) clips were almost completely endoluminal, and were attached at one end to the vesicourethral anastomosis. We successfully removed them via transurethral surgery using a holmium laser. CONCLUSION: This case series describes late‐onset Hem‐o‐Lok(®) clip migration into the bladder more than 1 year after robot‐assisted radical prostatectomy. Transurethral holmium laser surgery was very effective for Hem‐o‐Lok(®) clip removal. To avoid involvement of Hem‐o‐Lok(®) clips in the vesicourethral anastomosis, appropriate resection at the time of bladder neck transection is important. |
format | Online Article Text |
id | pubmed-8720733 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87207332022-01-07 Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy Ohyama, Takehiro Shimbo, Masaki Endo, Fumiyasu Hattori, Kazunori IJU Case Rep Case Reports INTRODUCTION: Hem‐o‐Lok(®) clips are widely used in robot‐assisted radical prostatectomy because of their ease of application and secure clamping. Although there have been some reports of their migration into the urinary tract, this usually occurs a few months after robot‐assisted radical prostatectomy. Late‐onset cases of Hem‐o‐Lok(®) clip migration, that is, after more than 1 year, are rare. CASE PRESENTATIONS: We report three cases of delayed endourethral Hem‐o‐Lok(®) clip migration more than 2 years after robot‐assisted radical prostatectomy. The Hem‐o‐Lok(®) clips were almost completely endoluminal, and were attached at one end to the vesicourethral anastomosis. We successfully removed them via transurethral surgery using a holmium laser. CONCLUSION: This case series describes late‐onset Hem‐o‐Lok(®) clip migration into the bladder more than 1 year after robot‐assisted radical prostatectomy. Transurethral holmium laser surgery was very effective for Hem‐o‐Lok(®) clip removal. To avoid involvement of Hem‐o‐Lok(®) clips in the vesicourethral anastomosis, appropriate resection at the time of bladder neck transection is important. John Wiley and Sons Inc. 2021-11-11 /pmc/articles/PMC8720733/ /pubmed/35005473 http://dx.doi.org/10.1002/iju5.12386 Text en © 2021 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Case Reports Ohyama, Takehiro Shimbo, Masaki Endo, Fumiyasu Hattori, Kazunori Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy |
title | Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy |
title_full | Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy |
title_fullStr | Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy |
title_full_unstemmed | Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy |
title_short | Late‐onset Hem‐o‐Lok® migration into the bladder after robot‐assisted radical prostatectomy |
title_sort | late‐onset hem‐o‐lok® migration into the bladder after robot‐assisted radical prostatectomy |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720733/ https://www.ncbi.nlm.nih.gov/pubmed/35005473 http://dx.doi.org/10.1002/iju5.12386 |
work_keys_str_mv | AT ohyamatakehiro lateonsethemolokmigrationintothebladderafterrobotassistedradicalprostatectomy AT shimbomasaki lateonsethemolokmigrationintothebladderafterrobotassistedradicalprostatectomy AT endofumiyasu lateonsethemolokmigrationintothebladderafterrobotassistedradicalprostatectomy AT hattorikazunori lateonsethemolokmigrationintothebladderafterrobotassistedradicalprostatectomy |