title: Endourethral migration of a Hem-o-Lok Clip after robot-assisted laparoscopic radical prostatectomy.
abstract: Hem-o-Lok clips (Weck Surgical Instruments, Teleflex Medical, Durham, North Carolina, USA) are widely used in robot-assisted laparoscopic radical prostatectomy because of their easy application and secure clamping. To date, there have been some reports of their migration into the urinary tract, causing urethral erosion, bladder neck contractures orcalculus formation. We report a case of endourethral migration of a hem-o-lok after robot-assisted laparoscopic prostatectomy. The hem-o-lok was almost completely endoluminal and attached to one end at the vesico-urethral anastomosis. The hem-o-lok was easily removed cystoscopically by using an endoscopic forceps.
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Bientinesi
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Di Gianfrancesco
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Dario
authors.initials: D
authors.lastname: Pugliese
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: D'Agostino
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Racioppi
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Pier Francesco
authors.initials: PF
authors.lastname: Bassi
authors.affiliation: Department of Urology, "Agostino Gemelli" Hospital - Catholic University Medical School, Rome - Italy.
authors.forename: Emilio
authors.initials: E
authors.lastname: Sacco
mesh_terms: D000368:Aged; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D011468:Prostatectomy / Q000295:instrumentation* / Q000379:methods; D065287:Robotic Surgical Procedures; D013525:Surgical Instruments; D014521:Urethra