Mesh erosion into urinary bladder following laparoscopic inguinal hernia repair

Abstract

Along with advantages, evolving surgical techniques bring unique complications. A young male developed urinary symptoms a few months after undergoing laparoscopic inguinal hernia repair. On evaluation, mesh erosion into the urinary bladder was found. Removal of mesh with repair of bladder was done. A vesico-cutaneous fistula resulted which was managed with repeat surgery. We review all such cases reported in literature; discuss the etiopathogenesis, presentation, management and possible preventive measures. To the best of our knowledge, this is only the 12th case being reported.

Keywords

• Complications
• laparoscopic inguinal hernia repair
• mesh erosion
• urinary bladder
• vesico-cutaneous fistula