Skip to main content

Advertisement

SpringerLink
Log in

Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg?

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

A 67-year-old man presented with recurrent sepsis, groin swelling, and lower urinary tract symptoms 12 years after bilateral TEP inguinal hernia repair. Diagnosis of mesh migration and erosion into the urinary bladder was made by cystoscopy. Exploration of the groin confirmed Prolene mesh erosion into the lateral wall of the urinary bladder. This is the second reported case following TEP repair. A review of the literature reveals eight reported cases following laparoscopic repair since 1994. The factors contributing to mesh migration and erosion are discussed. With large case series of mesh non-fixation being reported in world literature, it may be that the incidence of this complication will increase in the future. A lower diagnostic threshold and reporting of this complication should be encouraged.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. McCormack K, Scott NW, Go PM, Ross S, Grant AM, EU Hernia Trialists Collaboration (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 1:CD001785. Review

  2. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A (2005) Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess 9(14):1–203

    CAS  PubMed  Google Scholar 

  3. Maier U, Treu TM (1995) Bladder stone as a complication 1 year after laparoscopic herniorrhaphy. Surgery 119:110–111

    Article  Google Scholar 

  4. Gray, Curtis JM, Elkington JS (1994) Colovesical fistula after laparoscopic inguinal hernia repair. Br J Surg 81:213

    Google Scholar 

  5. Hume R, Bour J (1996) Mesh migration following laparoscopic inguinal hernia repair. J Laparoendosc Surg 6:333–335

    CAS  PubMed  Google Scholar 

  6. Rieger N, Brundell S (2002) Colovesical fistula secondary to laparoscopic TAPP mesh hernioplasty. Surg Endosc 16:219

    Article  Google Scholar 

  7. Bodenbach M, Bschleipfer T, Stoschek M et al (2002) Intravesical migration of a polypropylene mesh implant 3 years after laparoscopic transperitoneal hernioplasty. Urologe A 41:366–368 (in German)

    Article  CAS  PubMed  Google Scholar 

  8. Chowbey PK, Bagchi N, Goel A, Sharma A, Khullar R, Soni V, Baijal M (2006) Mesh migration into the bladder after TEP repair: a rare case report. Surg Laparosc Endosc Percutan Tech 16(1):52–53

    Article  PubMed  Google Scholar 

  9. Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10:79–82

    Article  CAS  PubMed  Google Scholar 

  10. Kurukahvecioglu O, Ege B, Yazicioglu O, Tezel E, Ersoy E (2007) Polytetrafluoro-ethylene prosthesis migration into the bladder after laparoscopic hernia repair: a case report. Surg Laparosc Endosc Percutan Tech 17(5):474–476

    Article  PubMed  Google Scholar 

  11. Shin D, Lipshultz LI, Goldstein M et al (2005) Herniorrhaphy with polypropylene mesh causing inguinal vasal obstruction: a preventable cause of obstructive azoospermia. Ann Surg 241:553–558

    Article  PubMed  Google Scholar 

  12. Cristaldi M, Pisacreta M, Elli M et al (1997) Femoro-popliteal by-pass occlusion following mesh plug for prevascular femoral hernia repair. Hernia 1:197–199

    Article  Google Scholar 

  13. Stoppa R, Diarra B, Verhaeghe P et al (1998) Some problems encountered in re-operation following repair of groin hernias with preperitoneal prosthesis. Hernia 2:35–38

    Article  Google Scholar 

  14. Valenti G, Baldassarre E, Torino G (2006) Vas deferens obstruction due to fibrosis after plug hernioplasty. Am Surg 72:137–138

    PubMed  Google Scholar 

  15. Benedetti M, Albertario S, Niebel T et al (2005) Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia 9:93–95

    Article  CAS  PubMed  Google Scholar 

  16. Valenti G, Baldassarre E (2006) Mesh and plug: a solution for patient or for the surgeon? Hernia 10:100–101

    Article  PubMed  Google Scholar 

  17. Valenti G, Baldassarre E (2005) Mesh and plug hernia repair complications. Am Surg 71:613–614

    PubMed  Google Scholar 

  18. Lauwers P, Bracke B, Hubens G et al (2003) Unusual complications of preperitoneal mesh implantation in the treatment of inguinal hernia. Acta Chir Belg 103:513–516

    CAS  PubMed  Google Scholar 

  19. Ismail M, Garg P (2008) Laparoscopic inguinal total extraperitoneal hernia repair under spinal anaesthesia without mesh fixation in 1,220 hernia repairs. Hernia 126:5–4906

    Google Scholar 

Download references

Author information

Author notes

  1. A. Hamouda

    Present address: , 34 Horton Crescent, Epsom, Surrey, KT19 8AA, UK

Authors and Affiliations

  1. Department of Hepatobiliary Surgery, Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK

    A. Hamouda, J. Kennedy, N. Grant & N. Karanjia

  2. Department of Urology, Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK

    A. Nigam

Authors
  1. A. Hamouda
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Kennedy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. N. Grant
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Nigam
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. N. Karanjia
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Hamouda.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hamouda, A., Kennedy, J., Grant, N. et al. Mesh erosion into the urinary bladder following laparoscopic inguinal hernia repair; is this the tip of the iceberg?. Hernia 14, 317–319 (2010). https://doi.org/10.1007/s10029-009-0539-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-009-0539-5

Keywords

Search

Navigation