Bladder stone following intravesical migration of surgical clip five years after radical prostatectomy

Sarkis, Julien; Alkassis, Marwan; Chebel, Josselin Abi; Tabcheh, Abdelhay; Semaan, Albert

doi:10.1016/j.eucr.2019.101060

Cited by 6 publications

(8 citation statements)

References 5 publications

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“…For the choice of the treatment of BS, many factors must be taken into consideration, including the composition and size of the stone, general condition of the patients, previous treatment history and anatomic abnormalities. Furthermore, the modalities of surgical equipment also play an important role in therapeutic success [ 19 ]. Transurethral surgery has become commonly used due to its high efficacy and low morbidity following the development of newer endoscopic and fragmentation equipment [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

et al. 2021

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Background A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscopy and cystoscopy in transurethral cystolithotripsy (TUCL) for bladder stones (BS). Methods The PubMed, Web of Science, Embase, EBSCO, and Cochrane Library databases were searched up to January 2021 for studies assessing the effect of different types of endoscopes among patients who underwent TUCL. The search strategy and study selection process were in accordance with the PRISMA statement. Results Five randomized controlled trials were included in the meta-analysis. The results showed no difference in stone-free rate (RR = 1.00, CI = 0.98–1.02, p = 1.00) between the two groups and nonsignificant heterogeneity (I2 = 0%, p = 1.00), and all patients were rendered stone free. Use of the nephroscope significantly shortened the operative time compared with the cystoscope group (RR= − 26.26, CI = − 35.84 to − 16.68, p < 0.00001), and there was significant heterogeneity (I2= 87%, p < 0.00001). There was no significant difference in mean urethral entries (RR = 0.66, CI = − 0.71 to − 2.04, p = 0.35), hospitalization (MD = 0.08, 95% CI = − 0.07 to 0.23, p = 0.31) or total complication rate (RR=1.37, 95% CI = 0.47–4.00, p = 0.56) between the two groups. Conclusions In conclusion, this systematic review demonstrates that both nephroscopy and cystoscopy have high stone clearance efficiency, low rates of complications and short hospitalizations. The mean urethral entries depend on the treatment method for large stone fragments. However, the use of nephroscopy can significantly reduce the operative time.

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Section: Discussionmentioning

confidence: 99%

Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

et al. 2021

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“…With respect to symptoms, patients predominantly present with either obstructive or storage LUTS and gross hematuria. [1][2][3]5,9,[14][15][16] Incidental asymptomatic cases have been also documented to a lesser extent. 11,12,17 Bladder lithiasis following prostatectomy must remarkably alert clinicians, given that a chronic clip-induced inflammation may act as a nidus for stone formation.…”

Section: Discussionmentioning

confidence: 99%

“…The use of surgical clips (SCs) has dramatically increased over the years, conferring several advantages such as convenient and rapid application, safety, precision, and reliability. [1][2][3] Both metallic and Hem-o-lok ® clips (HOLCs) have been widely applied in radical prostatectomy, mainly targeting the control of critical anatomical structures. [4][5][6] Despite the inherent advantages of their use, various cliprelated complications associated with migration into the urinary tract have also been described.…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6] Despite the inherent advantages of their use, various cliprelated complications associated with migration into the urinary tract have also been described. 1,6 Spontaneous expulsion, urethral erosion, bladder stone formation, and bladder neck contracture (BNC) are among the most common. 4,6 Herein, we present a rare incidental detection of two metallic endourethral SCs during a ureteral (JJ) stent Incidental discovery of endourethral clip migration 10 years after radical prostatectomy: A case report and review of the literature placement procedure.…”

Section: Introductionmentioning

confidence: 99%

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Incidental discovery of endourethral clip migration 10 years after radical prostatectomy: A case report and review of the literature

et al. 2021

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Introduction: Surgical clips (SCs) have been widely used for a variety of surgical procedures over the years. Despite their advantages and proven effectiveness, several clip-related complications have been reported, creating dilemmas as to their optimal use. Case description: Herein, we present a rare delayed and incidental discovery of two endourethral metallic SCs in a 77-year-old male seeking treatment for acute renal colic. The patient had undergone open radical retropubic prostatectomy 10 years ago, and had an uneventful postoperative recovery. Computed tomography scan revealed left-sided hydronephrosis secondary to proximal ureteral calculus, as well as SCs at the level of vesico-urethral (VUR) anastomosis. Flexible cystoscopy confirmed the imaging findings, showing two endourethral clips, partly obstructing the VUR. Firstly, a serial wire-guided dilation took place, followed by left ureteral double-J stent placement. Unfortunately, the clips could not be concurrently removed due to their firm attachment to the bladder neck. Hence, our patient was scheduled for transurethral resection of the bladder neck and simultaneous endoscopic clip removal. Conclusions: To the best of our knowledge, this is the first report to highlight such a delayed incidental finding, 10 years after open retropubic radical prostatectomy (RRP), during a JJ stent insertion for obstructive uropathy without previous clip-induced lower urinary tract symptoms. Although rare, physicians should be aware of the potential clip-related complications arising either in the short- or long-term postprostatectomy setting.

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“…Many factors should be taken into consideration when selecting the best treatment option for BS including composition and size of the stone, the general condition of the patient, previous treatment history and specific anatomic abnormalities. Also, the type of surgical equipment is an important factor in therapeutic success [22].…”

Section: Discussionmentioning

confidence: 99%

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

Gou

Wang

Zhou

et al. 2021

Preprint

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Background: A systematic review and meta-analysis was conducted to compare the safety and efficiency of nephroscope and cystoscope in transurethral cystolithotripsy (TUCL) for bladder stones. Methods: PubMed, Web of Science, Embase, EBSCO, and the Cochrane library databases (updated January 2021) were searched for studies that assessed the efficacy of different types of endoscopes in TUCL cases. The search strategy and study selection process was managed according to the PRISMA statement. Results: Five randomized controlled trials were included in the meta-analysis. Our result showed no significant differences in the stone free rate (SFR) across the studies (RR= 1.00; CI 0.98–1.02, p = 1.00). The study heterogeneity (I2 = 0%, P = 1.00) was not significant as all patients were rendered stone free. Using nephroscope can significantly shorten operation times compared to the use of cystoscopy (RR= -26.26; CI -35.84 – -16.68, p < 0.00001) with significant heterogeneity (I2 =87%, p < 0.00001). There was no significant difference between mean urethral entries (RR= 0.66; CI -0.71 – -2.04, p = 0.35), hospitalization (MD = 0.08, 95% CI = -0.07-0.23; P=0.31) and the total complication rate (RR = 1.37, 95% CI = 0.47-4.00, p=0.56). Conclusions: This systematic review demonstrated that using are highly efficient approaches in the clearance of bladder stones and result in a low rate of complication and short hospitalization times. The mean urethral entries are dependent on the treatment method for large stone fragments. However, using nephroscope can significantly reduce operation times. Key words: bladder stones; transurethral; endoscopic treatments; cystoscope; nephroscope

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Bladder stone following intravesical migration of surgical clip five years after radical prostatectomy

Abstract: Bladder stone formation on iatrogenic foreign bodies following radical prostatectomy is an uncommon postoperative complication. We present the case of a bladder lithiasis that developed around a metallic clip five years after radical retropubic prostatectomy.

Cited by 6 publications

References 5 publications

Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

Comparison of nephroscopy and cystoscopy used in the treatment of bladder stones: a systematic review and meta-analysis of randomized controlled trials

Incidental discovery of endourethral clip migration 10 years after radical prostatectomy: A case report and review of the literature

Comparison of two transurethral endoscopic modalities used in treatment of bladder stones: a systematic review and meta-analysis for randomized controlled trials

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