title: An unusual complication of a Hem-o-Lok clip following laparoscopic radical prostatectomy.
abstract: Delayed migration of a Hem-o-Lok device into the bladder following laparoscopic radical prostatectomy has been described a small number of times in the literature. In this article, we describe the case of a 67-year-old gentleman who had undergone a laparoscopic radical prostatectomy and returned 8 months later for follow-up investigations due to intractable urinary symptoms. A flexible cystoscopy revealed a tight bladder neck. At this stage, the patient was listed for a rigid cystoscopy and bladder neck dilatation; during the procedure, a Hem-o-Lok (Weck Surgical Instruments, Teleflex Medical, Durham, NC) was found in the bladder, having migrated from the urethrovesical anastomosis, and was successfully removed. On repeat cystoscopy 3 months later, a further Hem-o-Lok device was found eroded through the vesicourethral anastomosis and was successfully removed with the aid of a holmium laser.
authors.affiliation: Department of Urology, Pinderfields General Hospital, Wakefield, United Kingdom.
authors.forename: Gavin J
authors.initials: GJ
authors.lastname: Tunnard
authors.forename: Chandra S
authors.initials: CS
authors.lastname: Biyani
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000714:Anastomosis, Surgical; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery; D014513:Ureter / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery