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.
BadaniK.K., KaulS., MenonM.. Evolution of robotic radical prostatectomy: assessment after 2766 procedures.Cancer.2007; 110(9): 1951–1958.
2.
BlumenthalK.B., SutherlandD.E., WagnerK.R., FrazierH.A., EngelJ.D.. Bladder neck contractures related to the use of Hem-o-lok clips in robot-assisted laparoscopic radical prostatectomy.Urology.2008; 72(1): 158–161.
3.
TunnardG.J., BiyaniC.S.. An unusual complication of a Hem-o-Lok clip following laparoscopic radical prostatectomy.J Laparoendosc Adv Surg Tech A.2009; 19(5): 649–651.
4.
MoserR.L., NarepalemN.. Erosion of Hem-o-Lok clips at the bladder neck after robot-assisted radical prostatectomy.J Endourol.2009; 23(6): 949–951.
5.
TugcuV., PolatH., OzbayB., ErenG.A., TasciA.I.. Stone formation from intravesical Hem-o-lok clip migration after laparoscopic radical prostatectomy.J Endourol.2009; 23(7): 1111–1113.
MoraE.R., GalíO.B., GarinJ.A., ArangoO.. Intravesical migration and spontaneous expulsion of a Hem-o-lok polymer ligating clip after laparoscopic radical prostatectomy.Urology.2010; 75(6): 1317.
8.
Pereira AriasJ.G., Gamarra QuintanillaM., Leibar TamayoA., Astobieta OdriozolaA., Ibarluzea GonzálezG.. [Complications and incidences in our first 250 robotic radical prostatectomies].Actas Urol Esp.2010; 34(5): 428–439.
9.
CormioL., MassenioP., LucarelliG.Hem-o-lok clip: a neglected cause of severe bladder neck contracture and consequent urinary incontinence after robot-assisted laparoscopic radical prostatectomy.BMC Urol.2014; 14(1): 21.
10.
ShinY.S., DooA.R., ChaJ.S., KimM.K., JeongY.B., KimH.J.. Floating Hem-o-Lok clips in the bladder without stone formation after robot-assisted laparoscopic radical prostatectomy.Korean J Urol.2012; 53(1): 60–62.
11.
TunnardG.J., BiyaniC.S.. An unusual complication of a Hem-o-Lok clip following laparoscopic radical prostatectomy.J Laparoendosc Adv Surg Tech A.2009; 19(5): 649–651.
12.
GöpelT., HärtlF., SchneiderA., BussM., FeussnerH.. Automation of a suturing device for minimally invasive surgery.Surg Endosc.2011; 25(7): 2100–2104.
13.
OrvietoM.A., LotanT., LyonM.B.Assessment of the LapraTy clip for facilitating reconstructive laparoscopic surgery in a porcine model.Urology.2007; 69(3): 582–585.
