An unusual complication of a Hem-o-Lok clip following laparoscopic radical prostatectomy.

Delayed migration of a Hem-o-Lok device into the bladder following laparoscopic radical prostatectomy has been described a small number of times in the literature. In this article, we describe the case of a 67-year-old gentleman who had undergone a laparoscopic radical prostatectomy and returned 8 months later for follow-up investigations due to intractable urinary symptoms. A flexible cystoscopy revealed a tight bladder neck. At this stage, the patient was listed for a rigid cystoscopy and bladder neck dilatation; during the procedure, a Hem-o-Lok (Weck Surgical Instruments, Teleflex Medical, Durham, NC) was found in the bladder, having migrated from the urethrovesical anastomosis, and was successfully removed. On repeat cystoscopy 3 months later, a further Hem-o-Lok device was found eroded through the vesicourethral anastomosis and was successfully removed with the aid of a holmium laser.