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Intravesical Weck clip migration after laparoscopic radical prostatectomy
Elizabeth B Banks1, Anup Ramani, Manoj Monga
1Department of Urologic Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA.
Urology
|March 1, 2008
Summary
Hemostatic clips used in laparoscopic radical prostatectomy can migrate into the bladder, causing stone formation. Surgeons should exercise caution with these devices near the vesicourethral anastomosis.
Area of Science:
- Urology
- Surgical Innovation
- Medical Device Technology
Background:
- Laparoscopic radical prostatectomy frequently employs multiple hemostatic modalities for surgical control.
- Hemostatic clips are commonly utilized devices in various surgical procedures, including prostatectomy.
Observation:
- A rare case of hemostatic clip migration into the urinary bladder following laparoscopic radical prostatectomy is presented.
- The migrated clip served as a nidus for significant bladder stone formation.
Findings:
- Intravesical migration of surgical clips can lead to urolithiasis.
- The vesicourethral anastomosis site is a critical area where clip placement requires careful consideration.
Implications:
- This case highlights a potential complication associated with hemostatic clip use in prostatectomy.
- Recommendations for cautious application of hemostatic devices in the vicinity of the vesicourethral anastomosis are warranted.
