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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 importance of considering mesh migration in patients with persistent urinary symptoms and the role of imaging in diagnosis.
Area of Science:
- Urology
- Surgical Innovation
- Medical Imaging
Background:
- Laparoscopic inguinal hernia repair using mesh significantly reduces recurrence rates.
- However, rare complications such as mesh erosion into adjacent viscera can occur.
Purpose of the Study:
- To report a rare case of mesh migration into the urinary bladder following laparoscopic inguinal hernia repair.
- To emphasize the diagnostic role of imaging in such cases.
Main Methods:
- A 36-year-old male presented with chronic urinary symptoms and recurrent urinary tract infections 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, with a pseudo-diverticular outpouching.
- Surgical findings corroborated the imaging results.
- The migrated mesh was successfully removed.
Conclusions:
- Mesh migration into the bladder is an uncommon but significant complication of laparoscopic inguinal hernia repair.
- Persistent urinary symptoms after hernia repair warrant investigation for mesh-related issues.
- Advanced imaging techniques are crucial for accurate diagnosis and management planning.