Vesico-Ureteric Junction Obstruction and Calyceal Rupture Secondary to a UroLift Implant

Prostatic urethral lift is a minimally invasive procedure used to improve the symptoms of benign prostatic enlargement. It utilizes the UroLift device to insert small implants through occlusive lateral lobes of the prostate, thereby creating an open anterior channel through the prostate. We describe a previously unreported complication of UroLift whereby a patient presented with loin pain post-procedure and was found to have a UroLift clip across the vesico-ureteric junction , leading to ureteric obstruction, hydronephrosis and calyceal rupture.