Korean J Urol.  2009 Jun;50(6):613-614. 10.4111/kju.2009.50.6.613.

Intravesical Stone Formation around a Hem-O-Lok Clip after Laparoscopic Radical Prostatectomy

• Cho HJ
• Kim SJ
• Ha US
• Hong SH
• Kim JC
• Hwang TK

• KMID: 1989796
• DOI: http://doi.org/10.4111/kju.2009.50.6.613

Abstract

We report a case of a bladder stone that formed on a Hem-o-lok clip used to suture an urethrovesical anastomosis. A 65-year-old man presented with intermittent perineal pain, dysuria, and gross hematuria 4 years after laparoscopic radical prostatectomy for localized prostate cancer. Cystoscopy demonstrated a stone formed around a Hem-o-lok clip that had possibly eroded into the urethra. Ultrasonic lithotripsy of the bladder stone with endoscopic extraction of the Hem-o-lok clip was performed.

Keyword

Prostatic neoplasms; Laparoscopy; Prostatectomy; Calculi

MeSH Terms

Aged
Calculi
Cystoscopy
Cytochrome P-450 CYP1A1
Dysuria
Hematuria
Humans
Laparoscopy
Lithotripsy
Prostatectomy
Prostatic Neoplasms
Sutures
Urethra
Urinary Bladder Calculi
Cytochrome P-450 CYP1A1

Figure

• 

  Fig. 1 Plain x-ray showing a 15×10 mm calcific density around the pubic symphysis.

• 

  Fig. 2 Cystoscopic image of the stone formed on the Hem-o-lok clip.

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