Post Incisional Hernia Meshplasty Vesicocutaneous Fistula – A Rare Complication

Abstract

Laparoscopic meshplasty is gold standard in hernia surgery. Mesh migration into bowel/bladder has been documented after laparoscopic repair, though migration into bowel is more common than bladder. Only 12 cases of migration into bladder have been described post inguinal meshplasty. We report the 1st case of mesh migration into bladder post Incisional hernia meshplasty, presenting as vesicocutaneous fistula. The objectives of this report are highlighting important points enabling earlier diagnosis, treatment. We would also like to suggest important preventive measures during meshplasty which we believe will go a long way in avoiding this important complication, thus immensely benefiting patients.

Keywords

• Vesicocutaneous fistula
• Extra-peritoneal prolene mesh
• Diagnostic cystoscopy
• Volume rendering technique-CT cystogram