Prostate Cancer Foundation 2018 Scientific Retreat

Prostate Cancer Foundation 2018 Scientific Retreat

INTERVIEW WITH ANDREA MIYAHIRA
The Prostate Cancer Foundation: A Discussion with Andrea Miyahira

VIEW ALL PCF VIDEOS

Prostate Cancer Foundation 2018 Scientific Retreat

Prostate Cancer Foundation 2018 Scientific Retreat

INTERVIEW WITH KENNETH PIENTA
The Process of Metastasis in Prostate Cancer

VIEW ALL PCF VIDEOS

European Society for Medical Oncology 2018 Congress

European Society for Medical Oncology 2018 Congress

INTERVIEW WITH FRED SAAD
A Renewed Analysis of ERA 223

VIEW ALL ESMO VIDEOS

Videos
State-of-the-industry video lectures by leading urology experts
Latest Videos
Featured Videos

TAIPEI, TAIWAN (UroToday.com) - Introduction and Objectives: Hem-o-lok clips are widely used for control lateral pedicles in laparoscopic or robotassisted laparoscopic prostatectomy. Only few studies had reported Hem-o-lok clip-related complications. We reviewed our series and published case reports to classify three types of Hemo- lok clip-related complications according to clinical course and presentations.

wceMethods: We retrospectively identified six patients with Hem-o-lok clip-related complications from consecutive 750 patients who underwent robot-assisted laparoscopic prostatectomy from 2006 to 2014 by a single surgeon. Besides, we searched PubMed database for Hem-o-lok clip-related complications after laparoscopic prostatectomy.

Results: The incidence of Hem-o-lok clip-related complications is 0.8% (6/750). A total of 22 patients were reported including six from our series. According to the clinical course and presentations, three types of complications could be classified. Type I complications result from erosion of Hem-o-lok clip over vesicourethral anastosmosis. Obstructive low urinary tract symptoms develop two to eight months after prostatectomy due to bladder neck contracture. Long-term complications such as urethra stricture and urinary incontinence are concerned. Type II complications are similar to type I, but the erosion site of Hem-olok clip is far from the bladder neck. Only stone formation with gross hematuria occurs. Type III complications might result from migration of unretrieved loose clips during procedure. Patients complain of spontaneous expulsion of Hem-o-lok clips weeks after sugery.

Conclusions: Although the incidence of Hem-o-lok clip-related complications is relative low, type I complications with long-term sequelae are still concerned. We should minimize the use of Hem-o-lok clips adjacent to anastomosis and retrieve of any loose clips to reduce the complications.

Source of Funding: None

 
Listen to an interview with Chih-Chin Yu, one of the authors of this study.

 

Presented by Chih-Chin Yu, Cheng-Kuang Yang, and Yeu-Chuan Ou at the 32nd World Congress of Endourology & SWL - September 3 - 7, 2014 - Taipei, Taiwan

Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taiwan

 

 

Clinical Trials
Searchable data base of currently enrolling clinical trials
Journals
Publications focusing on urological cancer treatments through original commentary & articles
Everyday Urology Volume 3 Issue 3

Everyday Urology™ - Oncology Insights

PCAN cover

Prostate Cancer and Prostatic Diseases

From the Editor

@UroToday
E-Newsletters

Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.

Subscribe

Calendar
Upcoming educational events
December 13-16, 2018 / ESMO Immuno-Oncology Congress 2018
ESMO Immuno-Oncology Congress 2018
January 17-19, 2019 /
SNMMI 2019 Mid-Winter Meeting