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Intravesical Mesh Migration After Hernia Repair: A Case Report
Syed Muhammad Hadi Ali Shah1, Maheen Nasir2, Fahad Malik2
1Al Noor Diagnostic Center, Pakistan.
Discoveries (Craiova, Romania)
|July 27, 2026
Summary
Mesh erosion into the bladder is a rare complication following laparoscopic inguinal hernia repair. This case highlights the diagnostic role of imaging in identifying mesh migration and guiding surgical removal for persistent urinary symptoms.
Area of Science:
- Surgical Innovation
- Urology
- Medical Imaging
Background:
- Laparoscopic inguinal hernia repair with mesh significantly reduces recurrence rates.
- However, rare complications like mesh erosion into adjacent organs can occur.
Purpose of the Study:
- To report a case of mesh migration into the urinary bladder following laparoscopic inguinal hernia repair.
- To emphasize the diagnostic utility of imaging in such rare complications.
Main Methods:
- A 36-year-old male presented with chronic urinary symptoms post-hernia repair.
- Ultrasound and contrast-enhanced CT were utilized for diagnosis.
- Surgical exploration and mesh removal were performed.
Main Results:
- Imaging confirmed mesh migration from the inguinal region into the urinary bladder.
- A pseudo-diverticular outpouching of the bladder wall was observed.
- Surgical findings corroborated imaging, and the mesh was successfully removed.
Conclusions:
- Mesh migration into the bladder is a rare but significant complication of inguinal hernia repair.
- Persistent urinary symptoms after hernia repair warrant consideration of mesh-related issues.
- Advanced imaging plays a crucial role in diagnosing and managing mesh migration.