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Related Experiment Video

Updated: Jun 6, 2026

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

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Published on: August 9, 2012

Herniorrhaphy mesh as nidus for bladder calculi.

Marc A Bjurlin¹, Aaron D Berger

¹Division of Urology, Department of Surgery, Cook County Health and Hospitals System, Cook County Hospital, Chicago, Illinois, USA.

|December 3, 2010

Summary

Mesh erosion into the bladder after herniorrhaphy can cause bladder stones and fistulas. This case highlights a rare complication where surgical mesh migrated, leading to significant urinary symptoms and requiring surgical intervention.

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Published on: November 22, 2019

Area of Science:

Urology
Surgical Complications
Biomaterials in Surgery

Background:

Herniorrhaphy, a surgical procedure to repair hernias, sometimes utilizes synthetic mesh.
While generally safe, mesh implantation carries potential risks, including erosion into adjacent organs.
Bladder calculus (bladder stone) formation is a known, albeit uncommon, complication associated with foreign bodies in the urinary tract.

Observation:

A 76-year-old female presented with chronic inguinal drainage, urinary urgency, frequency, and recurrent urinary tract infections.
These symptoms began approximately 3 years after undergoing a femoral herniorrhaphy.
Radiographic and operative findings revealed a large bladder calculus and evidence of mesh erosion into the urinary bladder.

Findings:

The eroded herniorrhaphy mesh was identified as the causative agent for both the draining inguinal fistula and the bladder calculus.
Surgical intervention, including open cystolithotomy for calculus extraction and repeat herniorrhaphy without mesh, was successfully performed.
The patient experienced an uncomplicated recovery following the procedures.

Implications:

This case underscores the importance of recognizing mesh migration as a potential long-term complication of herniorrhaphy.
It highlights the diagnostic challenges posed by atypical presentations of mesh complications.
The successful management emphasizes the need for tailored surgical approaches in managing complex mesh-related issues.