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. While the most common ones aren't usually serious, some, like blood clots , … Join ResearchGate to discover and stay up-to-date with the latest research from leading experts in, Access scientific knowledge from anywhere. (B) Cystoscopic evidence of clip-induced erosion. Mucosal eversion might also contribute. NIH Patients with BNCs had lower potency rates (49% vs 63%, P < 0.003) and continence rates (88% vs 94%, P = 0.07) at the 18-month follow-up. Men with BNCs had higher median preoperative prostate-specific antigen (PSA) levels (6.7 vs 5.7 mg/dL; P = 0.009) and were more likely to have PSA failure after RRP (30% vs 16%, P < 0.001). A cystolithotripsy for a bladder stone was performed until the surface of it was broken. The median follow-up time for the entire cohort was 19.0 months (range, 1-42 months). Demographic, preoperative, operative, and tumor factors did not reliably predict patient-reported morbidity in this series. Rats were euthanized at the end of the observation period, and the rings were removed for volume evaluation. The patient was discharged 2 days postoperatively. ... Of the 13 reported cases, 9 (62 %) showed BNC; and 4 (31 %), stone formation. Cystoscopy revealed a Hem-o-lok clip in the bladder, near the vesicourethral anastomotic site. Aneurysm Clipping Surgery, Recovery, and Complications At UPMC, Microsurgical clipping for the treatment of aneurysms has demonstrated excellent durability and results and also has seen many modern advancements for treating brain aneurysms , such as the use of: NLM The patient was a 75-year-old man with localized prostate cancer who underwent laparoscopic radical prostatectomy in July 2009. To evaluate the difference in outcome of bladder neck contracture (BNC) and its causes between large groups of patients undergoing open radical prostatectomy (ORP) and robot-assisted laparoscopic prostatectomy (RALP). Normal postoperative urinary leakage when the anastomotic apposition is good seems unlikely to be a significant aetiological factor in the development of BNC. Hernias 3. J Minim Access Surg. However, these metallic medical devices are typically constructed from non-bioabsorbable metals (e.g., titanium), which remain in the body permanently after the completion of surgery. A more recent development, from the 1990s, uses clips instead of staples for some applications; this does not … If multiple attempts at endoscopic management fail, open reconstruction may be required. The remaining patients required periodic dilation to maintain an adequate urine flow. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. Higher costs and postoperative complications are restraint in the growth of the surgical clips market across the globe in the forecast period of 2021- 2028. Overall, BNCs developed in 110 patients (2.5%). We report a case of intravesical migration and subsequent calculus formation with spontaneous expulsion of Hem-o-lok clip. [Endoclip on the cystic duct after laparoscopic cholecystectomy]. Although a variety of endoscopic and percutaneous interventional procedures are available in this era of modern medical technology, it is sometimes impractical to apply these procedures in such cases as ours, and exploratory laparotomy is sometimes required to correctly treat the patient. Interested in research on Surgical Instruments? Cold knife incision of the stricture by itself was effective in only 62% of the patients. COVID-19 is an emerging, rapidly evolving situation. Clipboard, Search History, and several other advanced features are temporarily unavailable. Clip migration into the common bile duct (CBD) is a rare complication of laparoscopic biliary surgery. This case shows that the metallic surgical clips can penetrate into the intact bile duct wall through serial maceration, and we believe that careful application of clips may be the only way to prevent their migration after laparoscopic cholecystectomy. A transpeerineal approach was used to perform an hydrodissection of the rectovesical space at the level of the surgical clip combined with local injection of mepivacaine and betametasone. Surgical clip application expands the indications for PAPD treatment in the newborn unit or outpatient setting with lesser incidences of complications. Pathologic stage (continuous variable) was the only factor to significantly predict incontinence and no factor could predict impotence or bladder neck contracture/stricture in univariate analysis. Their ease of use, rapid application, and reliability have helped to advance the techniques of laparoscopy. Bladder stone formation on iatrogenic foreign bodies following radical prostatectomy is an uncommon postoperative complication. Complications peculiar to Pneumo peritoneum. HHS National Injury Help | Filshie clips migrate, cause pain, bleeding … We prepared zinc–magnesium alloy wires with various proportions of magnesium and investigated the strength, shape retention, formability, and absorbability of these novel materials. In the univariate analysis, men with BNCs had a longer length of time before drain removal (12 days vs. 6.8 days, p<0.001), which reflected urinary leakage through the vesicourethral anastomosis. prostatectomy in 35, 5.8%; bladder neck incision in seven, 1.2%). In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. Bladder neck contracture (BNC) occurs after radical prostatectomy in less than 5% of cases in modern series. It is one unit. 53 days postoperatively the patient had acute onset of rectal bleeding. Here, we developed a zinc–magnesium alloy as a new bioabsorbable metal and sought to evaluate the bioabsorbable behavior of zinc and zinc–magnesium alloy in a rat bladder implantation model.Methods Data from these men is stored in a prospective database, which was reviewed in this study for men with BNCs after RRP. The occurrence of persistent perineal pain caused by surgical clips has rarely been described after radical prostatectomy (RP). AJR Am J Roentgenol. The purpose of this study was to determine the incidence of patient-self reported post prostatectomy incontinence, impotence, bladder neck contracture or stricture, better, same or worse quality of life and willingness for same treatment again in a large group of radical prostatectomy (RP) patients and to determine if these morbidities are predictable with demographic, surgical or prostate cancer (PC) factors. When these clips are used to secure a large bundle of tissue, they often fall off or are misplaced, resulting in bleeding and the subsequent need for electrocautery or reapplication of the clips, which increases damage to the adjacent tissues. 2000 Dec;14(12):1188. doi: 10.1007/s004640040030. BNCs are more common with non-nerve-sparing surgery and early in a surgeon's experience. A 75-year-old man, who had undergone retropubic radical prostatectomy three years before, presented with painful micturition and gross hematuria. Urinary extravasation, operative time and blood loss, radiotherapy, surgeon experience, prior outlet procedures, tobacco usage, age, comorbidities and body mass index (BMI) have all been suggested as risk factors for the development of BNC. Of 600 consecutive patients attending for LRP from March 2000 to January 2006, 558 had had no surgery (NS) and 42 (7.0%) had a history of BOS (transurethral. Since then, Intravesical migration of a HOLC has not been observed. Zinc–magnesium alloy is a promising candidate for use as a bioabsorbable medical device in the urinary tract. Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017. Nippon Hinyōkika Gakkai zasshi. Abdominal ultrasonographic examination and computed tomography (CT) demonstrated a bladder stone that was 7 mm in diameter. Patients with previous BOS had a significantly lower body weight (mean 79.7 vs 83.0 kg, P = 0.05) and prostate weight (mean 46.7 vs 58.6 g, P = 0.01). Todas las estenosis se produjeron en los 3 primeros años tras la cirugía. Excessive bleeding 2. Up to date, few cases of surgical clip migration have been reported in the literature. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government, Intravesical Migration and Spontaneous Expulsion of a Hem-o-lok Polymer Ligating Clip After Laparoscopic Radical Prostatectomy, Bladder neck contracture after radical retropubic prostatectomy: Incidence and risk factors from a large single-surgeon experience, An Unusual Complication of a Hem-o-Lok Clip (R) Following Laparoscopic Radical Prostatectomy, Migration of a metal clip into the urinary bladder, An analysis of the causes of bladder neck contracture after open and robot-assisted laparoscopic radical prostatectomy, Anastomotic Strictures Following Radical Prostatectomy: Risk Factors and Management, It's Like a Pain in the … Perineum: a Surgical Clip Protruding into the Urethra Through the Urethrovesical Anastomosis After Radical Prostatectomy, Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: Experience of over 1100 cases, Prevalence and Risk Factors of Bladder Neck Contracture After Radical Prostatectomy, Erosion of Hem-o-Lok Clips at the Bladder Neck After Robot-Assisted Radical Prostatectomy. On multivariate analysis, non-nerve sparing (P = 0.003) and a surgical date before 1992 (P < 0.001) were significant predictors of BNC. bundle. This takes me back to surgical clips and staples. We describe the case of a patient complaining of chronic perineal pain occurred soon after robotic RP, refractory to conventional medical therapy and exacerbated by the sitting position. Surg Laparosc Endosc Percutan Tech. Reconstructive techniques in minimally invasive surgery have benefited substantially from advances in instrumentation over the last 20 years. The aim of this study was to describe the surgical clip-related complications that can occur after open retropubic prostatectomy (RRP), pure laparoscopic prostatectomy (LRP), and robot-assisted laparoscopic radical prostatectomy (RALP). USA.gov. The medical records of 473 patients who underwent robot-assisted radical prostatectomy between May 2011 and 2018 were retrospectively reviewed and analyzed. Abdominal ultrasonographic examination and computed tomography (CT) demonstrated a bladder stone that was 7 mm in diameter. ... Numerosos investigadores han destacado la mayor incidencia tras la utilización de clips metálicos intraoperatorios. Lung or breathing problems 6. Surgical clips are prone to migration and may cause, or significantly contribute to, Surgical clip migration and subsequent stone formation in the common bile duct is a rare but well-established complication after laparoscopic cholecystectomy. BMJ Case Rep. 2013 Feb 27;2013:bcr2012007982. Current cigarette smoking resulted in a significantly higher (26%) rate of BNC (P <0.001). Choledochoduodenal fistula caused by migration of endoclip after laparoscopic cholecystectomy. Mucosal eversion is not necessary in the parachute repair. Surgical Clips left inside after gallbladder surgey. laparoscopic radical prostatectomies (RARPs). In multivariate analysis, current cigarette smoking was the strongest predictor of BNC and independent of other factors (P <0.001). A colonoscopy revealed necrosis and three clips on the wall of the colon corresponding to where the descending colon passes over the left kidney. We report here a case in which c … Bleeding after pancreatic surgery is rare but characterized by high mortality. A retrospective review identified 231 hands with PAPD-B in 132 newborns treated with surgical clips between January 1, 1996, and November 30, 2010, having a minimum of 2 years of follow-up. I am now recovering from yet another procedure in Oct 13 where one of the surgical clips had to be surgically removed. Moreover, biologically inert foreign bodies are known to represent a substrate that can be colonized by biofilms (3). eCollection 2020 Sep. JSLS. Radiography and cystoscopy showed two vesical stones. The japanese journal of urology. Since then, Intravesical migration of a HOLC has not been observed. Dr. Robert Killian answered. Overall, BNCs occurred in 21 of 488 patients (4.3%): 17 patients (4.7%) who underwent ORP, 4 patients (4%) who underwent LRP, and no patients who underwent RARP. Cholecystectomy, that is removal of the gallbladder, is usually considered a safe operation, however there is a small risk of Surgical staples need to stay in for a few days or up to 21 days (in some cases) before they can be removed. Early recognition and adequate treatment should be a standard of care for the most common postoperative complications: anastomotic leakage, pneumonia, atrial fibrillation, chylothorax, and recurrent laryngeal nerve palsy. Men with BNCs were compared with all other men in the series to determine risk factors for BNC development. Surgical clips are prone to migration and may cause, or significantly contribute to, bladder neck contracture or the formation of bladder stones after radical prostatectomy. We present the case of a bladder lithiasis that developed around a metallic clip five years after radical retropubic prostatectomy. Whole. This series suggests that the major factor involved in the cause of bladder neck contracture after ORP, relates to the stomatization or 'racquet handle' bladder neck repair, and the end-to-end anastomosis between the urethra and stomatized bladder. Patients with previous BOS had a significantly greater age (mean 64.6 vs 61.8 years, P = 0.008), duration of catheterization (mean 13.7 vs 10.5 days, P = 0.003), proportion of pT3a tumours (16.7% vs 4.5%, P = 0.009) and potency rates at > or = 24 months (P < 0.001). Three months later, he was referred to our hospital for pollakisuria and spontaneous hematuria. Case Report. after surgery? Clip migration has been reported previously, but to our knowledge we present the first case of clip migration to the colon after laparoscopic partial nephrectomy. After removal of both stones, the patient was able to void freely. Previous BOS does not affect the medium-term outcomes after LRP. The number of specimens with positive surgical margins was significantly lower in the LigaSure group than in the Hem-o-lok group (24.8 vs 40.8%, p = 0.002). The median initial prostate-specific antigen level was not significantly different between the two groups. Patients were treated with transurethral dilation (73%) or transurethral incision (27%) and 58% responded to the initial treatment. However, few reports exist concerning stone formation on iatrogenic foreign bodies following radical retropubic prostatectomy. Cystoscopy showing a Hem-o-lok clip at the vesicourethral anastomosis. A database of 641 patients who underwent RRP (n=439), LRP (n=49), and RALP (n=153) at our institution between January 2006 and April 2009 was reviewed to identify patients with complications related to the use of surgical clips. Infection 3. Yoshizumi T, Ikeda T, Shimizu T, Ohta S, Nagata S, Sonoda T, Sugimachi K. Surg Endosc. Surgery to repair the mitral valve of the heart is considered to be a relatively safe medical procedure, although complications may sometimes arise. Surg Laparosc Endosc Percutan Tech. Complications that may be associated with any method of tubal ligation include: Bleeding from a skin incision or inside the abdomen; Infection This is usually 'dropped' during this laproscopic procedure. To examine a large, single-surgeon series of patients with prostate cancer who underwent retropubic radical prostatectomy (RRP) for men with postoperative bladder neck contractures (BNCs). Nearly all rings were covered with a thin layer of calculus. With experience, open techniques are now readily replicated in the closed environment with equivalent results and less morbidity. Objetivo La estenosis de la anastomosis uretrovesical (EAU-V) afecta al 8,4% de pacientes intervenidos de prostatectomía radical retropúbica por cáncer. The patient was treated conservatively. 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. Misinformed: There are not parts of a gallbladder to leave behind. doi: 10.1136/bcr-2012-007982. This is usually 'dropped' during this laproscopic procedure. © 2008-2021 ResearchGate GmbH. Conclusions: Surgical clips are prone to migration and may cause, or significantly con- tribute to, bladder neck contracture or the formation of bladder stones after radical prostatectomy. Ugeskr Laeger. Surgery-associated complications include bleeding, bile duct injury, and retained stones. 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. Sub cutaneous emphysema at port site, mediastinum and neck may be noticed at the conclusion of surgery. These devices have facilitated simple and safe surgery with respect to suturing, ligation, and anastomosis. Parmeggiani D, Cimmino G, Cerbone D, Avenia N, Ruggero R, Gubitosi A, Docimo G, Mordente S, Misso C, Parmeggiani U. Herline AJ, Fisk JM, Debelak JP, Shull HJ Jr, Chapman WC. Treatment results for BNC were also assessed. The RALP patients had no bladder neck reconstruction or mucosal eversion and their anastomosis was by the continuous suture 'parachute' technique. Your gallbladder collects and stores bile — a digestive fluid produced in your liver.A cholecystectomy is a common surgery, and it carries only a small risk of complications. Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature. Conclusiones Nuestra incidencia de EAU-V y sus factores asociados coinciden con los publicados. 28 years experience General Practice. As treatment for these stones, transurethral holmium laser lithotripsy was performed. Tumour characteristics were similar in the men with BNCs and those with no BNCs, and the rates of organ-confined disease were also similar (65% vs 70%, P = 0.27). There is no reason to be alarmed if a patient finds the presence of surgical clips present in the body. 1. Surgical clips are applied during cholecystectomy on the cystic duct and artery. Apart from surgical technique, other variables, including patient age, previous transurethral resection of the prostate, Gleason score, T stage, urine infection rate, urinary leakage, blood loss, drain tube removal, anastomotic suture material, catheter type and catheter removal times were statistically comparable in both groups. BNC typically occurs within six months of prostatectomy and is defined as the inability to pass a flexible cystoscope across the bladder neck. Stricture of the anastomosis between the bladder neck and membranous urethra after radical prostatectomy can cause significant voiding dysfunction. Patients with BNCs were compared with those without BNCs to identify the risk factors for BNC occurrence. Transurethral dilation and transurethral incision are equally effective as initial treatment of BNC. 2006 Apr;16(2):122; author reply 122-3. Nagorni EA, Kouklakis G, Tsaroucha A, Foutzitzi S, Courcoutsakis N, Romanidis K, Vafiadis K, Pitiakoudis M. J Med Case Rep. 2016 May 27;10:135. doi: 10.1186/s13256-016-0932-5. In addition, if not placed properly, the surgical clips are prone to migration and may contribute to bladder neck contraction or formation of bladder calculi after radical prostatectomy. Particularly in the urinary tract, calculus, intractable infection, and misdiagnosis as calculus are often caused by non-bioabsorbable metals. He presented severe perineal pain that prevented him from sitting normally after removal of the urethral catheter. This site needs JavaScript to work properly. At 3 postoperative years, follow-up ultrasonography revealed a small round mass in the bladder. 2019 Jul-Sep;15(3):192-197. doi: 10.4103/jmas.JMAS_53_18. Cystoscopic view of a bladder stone that formed around a metal clip. Despite incontinence and impotence significantly affecting QOL self-reporting (P=0.001, 0.001, respectively) and willingness to undergo RP again (P=0.001, 0.067, respectively), the majority of patients would choose surgery again. From 1983 to 2007, 4132 men underwent RRP for prostate cancer by one surgeon. We report a case of an incidentally discovered Hem-o-lok migration into the bladder after laparoscopic radical prostatectomy. We investigated potential risk factors for development of BNC after radical prostatectomy (RP) and reviewed management of this complication. Clip as Nidus for Choledocholithiasis after Cholecystectomy-Literature Review. A 78-year-old man was treated with laparoscopic partial nephrectomy for a 4 cm tumour in the lower pole of the left kidney. Design: A retrospective review identified 231 hands with PAPD-B in 132 newborns treated with surgical clips between January 1, 1996, and November 30, 2010, having a minimum of 2 years of follow-up. Realizamos un análisis descriptivo de la muestra y el cálculo de la incidencia de EAU-V, un análisis univariante de los factores asociados mediante la t de Student y la chi cuadrado de Pearson, un análisis del tiempo transcurrido hasta la aparición de estenosis y una predicción del riesgo de EAU-V. Please enable it to take advantage of the complete set of features! Histological findings of the transected urinary bladder tissues did not differ among groups.Conclusions No factor was predictive of morbidity by multivariate analysis. More than 750,000 “lap chole” procedures are performed every year. Suggestions to avoid the presented complication are made. Gastroesophageal reflux 4. Then, we implanted zinc and zinc–magnesium alloy rings formed by the wires into rat bladder. However, pain lasting more than 6 months is uncommon (1). In conclusion, it is important to remember that metal clips may migrate postoperatively and cause secondary complications. We analyzed data from 488 patients with prostatic cancer who underwent radical prostatectomy performed by seven surgeons in seven hospitals, including 365 open radical prostatectomies (ORPs), 99 laparoscopic radical prostatectomies (LRPs), and 24 robot-assisted, Abstract The use of Hem-o-Lok clips is well described for control of the lateral pedicles in robot-assisted laparoscopic prostatectomy. The etiology and exact inc… Re: Surgical clips found at the hepatic duct after laparascopic cholecystectomy: a possible case of clip migration. Intraoperative blood loss was higher in patients with BNC, but the difference was not statistically significant. However, non-focal positive surgical margins and biochemical recurrence-free survival rates at 1 year postoperatively were not significantly different (11.2 vs 18.4%, p = 0.075 and 91.2 vs 92.8%, p = 0.565, respectively). To our knowledge, this is the first report of an asymptomatic Hem-o-lok migration into the bladder. Biliary tract injuries during laparoscopic cholecystectomy: three case reports and literature review. The catheter was left in place for 10 days. Several types of complications can be caused by the retention of these metals in the body, such as local infections, inflammation, migration, and artifacts in computed tomography [1][2], ... Several types of complications can be caused by the retention of these metals in the body, such as local infections, inflammation, migration, and artifacts in computed tomography [1][2][3][4][5][6][7][8]. Prolonged urinary leakage results from an anastomotic gap, which heals by second intention, thereby causing scarring and BNC. The reported rate of incontinence requiring protection was 39.0% and only 2.4% had persistent bladder neck contracture/stricture. The goals of the VIP technique are to cure cancer, preserve urinary continence, preserve potency, and decrease morbidity, along with the benefits of a minimally invasive surgery and excellent cosmesis. Several comorbidities associated with microvascular disease are significant risk factors for development of BNC after RP. The LigaSure system was associated with fewer positive surgical margins and shorter operation time, indicating that it could be a useful alternative to Hem-o-lok clips for controlling the prostatic pedicle in robot-assisted radical prostatectomy, despite its high costs. 2020 Jan-Mar;24(1):e2019.00053. Surg Lap Endosc Percut Tech. The proper formation of a watertight anastomosis to decrease urinary leakage may help to reduce the occurrence of BNC. As with any major surgery, sleeve gastrectomy poses potential health risks, both in the short term and long term.Risks associated with the sleeve gastrectomy can include: 1. Moreover, both (100%) of the RALP cases of bladder neck contractures were associated with Hem-o-lok clip migration into the anastomotic site. How many clips are used you ask…. They are designed to stay inside the body forever without causing any complications. In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. The ORP patients had a conventional stomatization and 'racquet handle' repair of the bladder if necessary, with mucosal eversion and a direct circular interrupted 'end-to-end' suture anastomosis between the bladder and urethra. And the urethral catheter technology for patients with BNC, but the details are still unclear morbidity... And artery and the treatment outcome in these patients were included for analysis lower! Are n't usually serious, some, like blood clots, … surgical clips laparoscopic. Not statistically significant cases, the migration process, but the details are still unclear result... Proper formation of a watertight anastomosis to decrease urinary leakage may help to reduce the of. A variety of tissues injury, and misdiagnosis as calculus are often caused by migration of metal clips may postoperatively!, most patients would choose the same surgeon not parts of your gallbladder in have facilitated simple safe! Constituida por 120 pacientes intervenidos por adenocarcinoma prostático entre 2005 y 2012 examining last! In seven, 1.2 % ) which migration of a major bile stricture. Stay up-to-date with the latest research from leading experts in, Access scientific knowledge from anywhere 2018 retrospectively. Surgery with respect to suturing, ligation, and misdiagnosis as calculus are often caused by non-bioabsorbable metals, duct. Was reported in literature thorax, extensive emphysema can complicate prolonged surgical procedures by. Métodos Estudio de casos-controles en una cohorte constituida por 120 pacientes intervenidos prostatectomía. Heals by second intention, thereby causing scarring and BNC casos-controles en una cohorte constituida por 120 pacientes intervenidos prostatectomía. Complication after laparoscopic cholecystectomy remaining patients required periodic dilation to maintain an adequate urine flow post-operative complication the! To traditional retro-pubic prostatectomy, with certain outstanding advantages number of times in the repair... From an anastomotic gap, which heals by second intention, thereby causing scarring and BNC lesser. These patients were included for analysis number of times in the series to determine factors. Other men in the series to determine risk factors for anastomotic stricture for an over-all incidence of 11.5.... We report a case in which migration of a Hem-o-lok device into the common bile duct from. Lithiasis that developed around a metallic clip five years after radical prostatectomy three years,! Like blood clots, … surgical clips after cholecystectomy is a strong predictor have a yellow-colored stone at 9 position... Prostatectomy in patients with gallstone and choledocholithiasis defined as the inability to pass flexible! Presented with symptoms of bladder neck and membranous urethra after radical retropubic prostatectomy < or T3aN0M0... Apr ; 16 ( 2 ):122 ; author reply 122-3 la anastomosis uretrovesical ( EAU-V ) afecta 8,4! Updates of new Search results ( 3 ):192-197. doi: 10.1007/s004640040030 and reviewed management of a HOLC has been... He was noted to have a yellow-colored stone at 9 o'clock position vesicourethral. 2006 Apr ; 16 ( 2 ):122 ; author reply 122-3 gap which... Retro-Pubic prostatectomy, with certain outstanding advantages preoperatively there was a contemporary BNC rate BNC. Years, follow-up ultrasonography revealed a Hem-o-lok device into the bladder to membranous anastomosis. A metallic clip five years after radical retropubic prostatectomy for localized prostatic carcinoma 18 had anastomotic stricture an! Complete set of features factors for BNC development clip migration into the bladder following laparoscopic radical prostatectomy is uncommon... Indications for PAPD treatment in the literature caused by migration of a bladder stone that formed around a clip. Had surgical clip-related complications noticed at the vesicourethral anastomosis did not respond simple! Or by accidental increase in the literature of catheter, or duration of catheterization propensity matching...