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A Murine Orthotopic Bladder Tumor Model and Tumor Detection System
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Migrated Mesh Plug Masquerading as a Bladder Tumor.

Claudia Sevilla1, Daoud Dajani1, Monish Aron1

  • 1USC Institute of Urology, University of Southern California , Los Angeles, California.

Journal of Endourology Case Reports
|February 7, 2017
PubMed
Summary
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Mesh erosion into the bladder can mimic bladder cancer symptoms, presenting as hematuria. Robotic surgery offers an effective solution for excising migrated mesh, ensuring patient recovery.

Area of Science:

  • Urology
  • Surgical Technology

Background:

  • Mesh erosion into the bladder is a rare but serious complication following hernia repair.
  • Symptoms of mesh erosion can overlap with those of bladder malignancy, leading to diagnostic challenges.

Observation:

  • A 62-year-old male presented with a two-year history of hematuria and imaging suggestive of a bladder tumor.
  • Cystoscopy revealed a lesion at the anterior bladder, later identified as a migrated mesh plug from a prior hernia repair.

Findings:

  • The migrated mesh plug was successfully excised using the Da Vinci Si robotic system.
  • Robotic surgery facilitated efficient mobilization of the bladder and surrounding structures, leading to a rapid recovery.

Implications:

  • This case highlights the importance of considering mesh erosion in patients with unexplained hematuria, especially those with a history of hernia repair.
Keywords:
bladder cancergross hematuriamesh erosionrobotic surgery

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  • The robotic approach demonstrates a viable and effective method for managing bladder mesh erosion, improving surgical outcomes.