{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T16:26:12Z","timestamp":1772555172825,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clips are widely used in robot\u2010assisted radical prostatectomy because of their ease of application and secure clamping. Although there have been some reports of their migration into the urinary tract, this usually occurs a few months after robot\u2010assisted radical prostatectomy. Late\u2010onset cases of Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clip migration, that is, after more than 1\u2009year, are rare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentations<\/jats:title><jats:p>We report three cases of delayed endourethral Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clip migration more than 2\u2009years after robot\u2010assisted radical prostatectomy. The Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clips were almost completely endoluminal, and were attached at one end to the vesicourethral anastomosis. We successfully removed them via transurethral surgery using a holmium laser.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This case series describes late\u2010onset Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clip migration into the bladder more than 1\u2009year after robot\u2010assisted radical prostatectomy. Transurethral holmium laser surgery was very effective for Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clip removal. To avoid involvement of Hem\u2010o\u2010Lok<jats:sup>\u00ae<\/jats:sup> clips in the vesicourethral anastomosis, appropriate resection at the time of bladder neck transection is important.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12386","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T07:43:36Z","timestamp":1636703016000},"page":"49-52","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Late\u2010onset Hem\u2010o\u2010Lok\u00ae migration into the bladder after robot\u2010assisted radical prostatectomy"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2223-0769","authenticated-orcid":false,"given":"Takehiro","family":"Ohyama","sequence":"first","affiliation":[{"name":"Department of Urology St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0407-7123","authenticated-orcid":false,"given":"Masaki","family":"Shimbo","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiyasu","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke\u2019s International Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0840"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0145"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.0328"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.11.105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0633"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.10.014"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2010.51.10.683"},{"key":"e_1_2_11_9_1","first-page":"4939","article-title":"Rectal Hem\u2010o\u2010Lok clip migration after robot\u2010assisted laparoscopic radical prostatectomy","volume":"16","author":"Wu SD","year":"2009","journal-title":"Can. 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Urol."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2012.53.1.60"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2490-14-21"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.5301\/uro.5000106"},{"key":"e_1_2_11_13_1","first-page":"111","article-title":"Intravesical migration of a hem\u2010o\u2010lok clip after robot\u2010assisted radical prostatectomy: a case report","volume":"107","author":"Aoki T","year":"2016","journal-title":"Nihon Hinyokika Gakkai Zasshi"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000490857"},{"key":"e_1_2_11_15_1","first-page":"65","article-title":"Migration of Hem\u2010o\u2010Lok clips into the urinary bladder used during robot\u2010assisted laparoscopic prostatectomy","volume":"65","author":"Iemura Y","year":"2019","journal-title":"Hinyokika Kiyo"},{"key":"e_1_2_11_16_1","unstructured":"National Comprehensive Cancer Network: NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines\u00ae). Prostate Cancer. Version 4.2019. [Cited 28 May 2021.] Available athttps:\/\/www2.tri\u2010kobe.org\/nccn\/guideline\/urological\/english\/prostate.pdf."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)01852-6"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12384"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-009-0173-9"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12481"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2019.11.01"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.12386","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/iju5.12386","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.12386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:17:38Z","timestamp":1693207058000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.12386"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,11]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1002\/iju5.12386"],"URL":"https:\/\/doi.org\/10.1002\/iju5.12386","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,11]]},"assertion":[{"value":"2021-06-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}