Indian Journal of Urology Users online:454  
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Year : 2010  |  Volume : 26  |  Issue : 4  |  Page : 580-581

Hem-o-Lok® clip eroding into the urethra following laparoscopic radical prostatectomy: A case report and review of literature

Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

Correspondence Address:
Mahesh R Desai
Muljibhai Patel Urological Hospital, Dr. V. V. Desai Road, Nadiad 387 001, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.74468

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Hem-o-loc clips have been used for vascular control in laparoscopic surgery. We describe a case presenting with lower urinary tract symptoms after laparoscopic radical prostatectomy. Evaluation revealed migrated hem-o-loc clips causing obstruction and symptoms in bladder neck region. Clip removal with endoscopy relieved the symptoms. Diagnosis warrants high index of suspicion as clips are radiolucent and other more common differential diagnosis like bladder neck contracture may have similar presentation. For the prevention, loose clips should be actively searched for and retrieved from abdomen and clip application near proposed anastomotic site should be avoided.

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