Akimoto Takahiro, Kakutani Shigenori, Kamei Jun, Kume Haruki, Fujimura Tetsuya, Enomoto Yutaka
Department of Urology Jichi Medical University Tochigi Japan.
Department of Urology Mitsui Memorial Hospital Tokyo Japan.
IJU Case Rep. 2022 May 9;5(4):276-279. doi: 10.1002/iju5.12461. eCollection 2022 Jul.
We report two cases of mesh migration into the bladder after inguinal hernia surgery.
In the first case, a 48-year-old woman who underwent right internal inguinal hernia repair, 18 months prior, presented with pollakiuria and microscopic hematuria that was resistant to antibiotics. A submucosal tumor was detected at the bladder dome by cystoscopy, and transurethral resection was performed. Intraoperatively, a migrated mesh was observed in the submucosal lesion. In the second case, a 55-year-old man who underwent a right external inguinal hernia repair, approximately 14 years prior, presented with persistent microscopic hematuria and pyuria. Cystoscopy revealed mesh migration to the upper right bladder wall. Both patients underwent partial cystectomy with mesh removal, and their complaints were resolved after surgery.
Mesh migration should be suspected in patients with a history of inguinal hernia repair, accompanied by persistent lower urinary tract symptoms or abnormal urinalysis findings.
我们报告两例腹股沟疝修补术后补片移位至膀胱的病例。
第一例患者为一名48岁女性，18个月前接受了右侧腹股沟疝修补术，现出现尿频和对抗生素治疗无效的镜下血尿。膀胱镜检查发现膀胱顶部有一个黏膜下肿瘤，遂进行经尿道切除术。术中，在黏膜下病变处观察到移位的补片。第二例患者为一名55岁男性，约14年前接受了右侧腹股沟疝修补术，现出现持续性镜下血尿和脓尿。膀胱镜检查显示补片移位至膀胱右上壁。两名患者均接受了部分膀胱切除术并取出补片，术后症状均得到缓解。
有腹股沟疝修补术病史且伴有持续性下尿路症状或尿液分析异常的患者应怀疑有补片移位。
