Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2023; 11(30): 7457-7462
Published online Oct 26, 2023. doi: 10.12998/wjcc.v11.i30.7457
Bladder stone due to late clip migration after prostatic urethral lift procedure: A case report
Ali Seydi Bozkurt, Ozgur Ekici, Ercüment Keskin, Fatih Kocoglu
Ali Seydi Bozkurt, Ozgur Ekici, Ercüment Keskin, Fatih Kocoglu, Department of Urology, Erzincan Binali Yıldırım University School of Medicine, Erzincan 24000, Turkey
Author contributions: Bozkurt AS, Ekici O, Keskin E, and Kocoglu F contributed equally to this work; Bozkurt AS, Ekici O, Keskin E, Kocoglu F designed the research study; Bozkurt AS, Ekici O performed the research; Keskin E, Kocoglu F contributed new reagents and analytic tools; Bozkurt AS, Ekici O analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
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Corresponding author: Ali Seydi Bozkurt, MD, Associate Professor, Department of Urology, Erzincan Binali Yıldırım University School of Medicine, No. 32 Haci Ali Akin Street, Erzincan 24000, Turkey. draliseydi@gmail.com
Received: July 30, 2023
Peer-review started: July 30, 2023
First decision: August 30, 2023
Revised: September 5, 2023
Accepted: September 28, 2023
Article in press: September 28, 2023
Published online: October 26, 2023
Processing time: 86 Days and 15.5 Hours
Abstract
BACKGROUND

Prostatic urethral lift (PUL) therapy is an alternative to minimally invasive and other surgeries in younger patients who want to preserve their sexual and ejaculatory functions, and in elderly male patients with benign prostatic hyperplasia who cannot be anesthetized because of the risk of anesthesia. The procedure can be performed as an outpatient and without anesthesia, and complications are few and temporary. In long-term follow-up, encrustations that require retreatment are rarely seen.

CASE SUMMARY

In our case, a 62-year-old prostate patient who had a PUL operation 8 years ago and had a stone on the PUL material near the bladder neck was treated. The patient’s stone was removed by endoscopic cystolithotripsy using pneumatic fragmentation. Bipolar transurethral resection of the prostate was applied to the patient in the same session. After the patient’s 7-year follow-up, the patient’s complaints relapsed, and cystoscopy was performed again. In cystoscopy, stone formation adjacent to the wall was observed at the junction of the bladder neck to the left lateral wall. The stone was fragmented with a pneumatic lithotripter.

CONCLUSION

Placing clips too close to bladder neck in the PUL procedure may result in clip migration.

Keywords: Endoscopic cystolithotripsy; Transurethral resection-P; Urolift; Bladder Stone; Case report

Core Tip: In the prostatic urethral lift procedure, it is important to avoid placing clip materials close to the bladder neck to avoid clip migration.