Bladder Neck Contracture with Hem-o-Lok Clips Migration after Robotic-Assisted Radical Prostatectomy: A Case Report and Literature Review

2022 ◽  
pp. 1-4
Author(s):  
Bo-Han Chen ◽  
Jen-Shu Tseng ◽  
Allen W. Chiu
Keyword(s):  
Urinary Tract ◽  
Radical Prostatectomy ◽  
Bladder Neck ◽  
Bladder Neck Contracture ◽  
Robotic Assisted ◽  
Bladder Neck Incision ◽  
Urinary Tract Symptoms ◽  
Robotic Assisted Radical Prostatectomy ◽  
Tract Infections ◽  
Lower Urinary

Hem-o-lok clips are widely used in robotic-assisted radical prostatectomy (RARP). However, clips-related complications have been reported, including intravesical migration. Here, we share a 60-year-old male case with newly diagnosed prostatic adenocarcinoma. With an unfavorable intermediate risk, he was admitted for RARP. He was discharged from hospital without any immediate complications. However, he reported progressive dysuria and slow urine stream 6 months after surgery. Cystoscopy showed severe bladder neck contracture (BNC), and 2 Hem-o-lok clips were found intravesically and removed during bladder neck incision. Subsequently, fiberocystoscopy revealed another 2 clips near the bladder neck with mild BNC after another 6 months. These 2 clips were also removed during bladder neck dilatation. His urination status then improved without further obstruction. Clip migration after RARP is uncommon; however, clinicians must keep this in mind when patients present with new complaints such as lower urinary tract symptoms, hematuria, and recurrent urinary tract infections.

scholarly journals Prevalence of lower urinary tract symptoms (LUTS) among young age medical population

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Zalina N ◽  
Aruku N ◽  
Azura N ◽  
Shahida N ◽  
Akhmarina N ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Public Awareness ◽  
Young Age ◽  
Personal Hygiene ◽  
Urinary Tract Symptoms ◽  
Tract Infections ◽  
Lower Urinary

Introduction: Frequency of lower urinary tract symptoms (LUTS) in young age women is not well studied. It is said to be common among female elderly and multiparous population. The aim of this study is to obtain the prevalence of LUTS among nulliparous students in relation to their personal hygiene. Materials and methods: This is a prospective cross-sectional study conducted among  200 nulliparous medical and nursing students aged between 18-28 years using standardized questionnaires. Urine samples were also collected from students to detect urinary tract infections. Results: The complete data sets of 146 students were analyzed. All of them were nulliparous, single and not sexually active. The prevalence of LUTS was 52.7% consist of over-active bladder, urinary incontinence (UI) and voiding difficulty respectively (51.3%, 34.9% and 45.2%). The most common type of UI was stress urinary incontinence which was 21.9% followed by 11.6% of urgency incontinence. Conclusion: The prevalence of LUTS among young age population is high at 52.7%. Public awareness regarding LUTS and availability of treatment is needed.

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