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Mesh erosion into urinary bladder, rare condition but important to know
1Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China. Lijunshenghd@126.com.
Summary
Mesh erosion into the urinary bladder is a rare but serious complication of hernia repair. Most cases follow laparoscopic inguinal hernia repair and require mesh removal, often with partial cystectomy.
Area of Science:
- Surgical Complications
- Urology
- Gastroenterology
Background:
- Mesh migration or erosion into viscera, particularly the urinary bladder, is a rare complication of hernia repair.
- Increasing use of prosthetic mesh in hernia repair may lead to a rise in such severe complications.
- Analysis of clinical patterns, prevention, and treatment of mesh erosion into the urinary bladder is necessary.
Purpose of the Study:
- To identify and analyze all published reports on mesh erosion into the urinary bladder.
- To discuss the clinical patterns, prevention, and treatment of this complication.
Main Methods:
- A thorough identification of published reports on mesh migration or erosion into the urinary bladder was conducted.
- Data from these reports were summarized, analyzed, and discussed.
Main Results:
- Twenty-three cases of mesh erosion into the urinary bladder were reported since 1994, mostly following inguinal hernia repairs (21/23).
- Transabdominal preperitoneal (TAPP) and trans-endoscopic preperitoneal (TEP) repairs were the most frequent procedures.
- Mesh removal, often with partial cystectomy, was the common treatment, with open procedures being most frequent (54.5%).
Conclusions:
- Mesh erosion into the urinary bladder can occur after both open and laparoscopic inguinal hernia repairs.
- This complication most frequently follows laparoscopic inguinal hernia repair and is typically treated with mesh removal, with or without partial cystectomy.
- A registry system is recommended for monitoring this complication.
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