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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
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[A CASE OF INGUINAL HERNIA MESH MIGRATION INTO THE BLADDER].
Yuriko Nagasaka1, Toshinori Nishikimi1, Hiroko Morikami1
1Japan Red Cross Aichi Medical Center Nagoya Daini Hospital.
Summary
A surgical mesh used for inguinal hernia repair migrated into the bladder, causing pain and urinary frequency. This rare complication required surgical removal of the mesh and bladder tumor.
Area of Science:
- Urology
- Surgical Innovation
- Medical Device Complications
Background:
- Inguinal herniorrhaphy is a common surgical procedure.
- Mesh erosion into adjacent organs is a rare but serious complication.
- Delayed presentation of mesh migration can mimic other pathologies.
Purpose of the Study:
- To report a unique case of eroded inguinal herniorrhaphy mesh migrating into the urinary bladder.
- To highlight the diagnostic challenges and management of this rare complication.
- To emphasize the importance of considering mesh migration in patients with a history of hernia repair presenting with lower urinary tract symptoms.
Main Methods:
- Case report of a 64-year-old male patient.
- Review of diagnostic imaging including computed tomography (CT), magnetic resonance imaging (MRI), and cystoscopy.
- Surgical intervention involving transurethral bladder tumor resection and partial cystectomy.
- Histopathological examination of the resected tissue.
Main Results:
- A 64-year-old male presented with urinary frequency three years after inguinal herniorrhaphy.
- Imaging revealed a bladder tumor with extramural invasion.
- Surgical resection identified eroded mesh within the bladder tumor.
- Partial cystectomy successfully removed the mesh and tumor, resolving symptoms.
Conclusions:
- Mesh migration from inguinal hernia repair into the bladder is an infrequent but significant complication.
- A high index of suspicion and advanced imaging are crucial for diagnosis.
- Surgical management, including mesh removal, can lead to favorable outcomes.
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