Urological complications of laparoscopic inguinal hernia repair: a case series
A Kocot1, E W Gerharz, H Riedmiller
1Department of Urology, Julius-Maximilians-University Medical School, Oberduerrbacher Strasse 6, 97080 Wuerzburg, Germany. kocot_a@klinik.uni-wuerzburg.de
Objectives:
To illustrate urological complications of laparoscopic inguinal hernia repair and discuss their management.
Patients:
Between April 2002 and February 2004, four men (aged 38-63 years) were treated for serious complications 2 days to 11 years after unilateral (1 patient) or bilateral (3 patients) laparoscopic inguinal hernioplasty.
Results:
In all cases (extra and intraperitoneal bladder injury, purulent urocystitis due to mesh-erosion of the bladder, secondary retroperitoneal fibrosis) open revision with complete drainage of the urinary tract was chosen as an efficacious therapeutic strategy.
Conclusions:
Awareness of rare complications of laparoscopic inguinal hernia repair may lead to early diagnosis and appropriate management.
