Department of Urology and Andrology, Paracelsus Medical University, Müllner Hauptstraße 48, 5020, Salzburg, Austria.
Department of Urology and Andrology, Pyhrn-Eisenwurzen Klinikum Steyr, Steyr, Austria.
BMC Urol. 2023 Feb 28;23(1):27. doi: 10.1186/s12894-023-01197-7.
Mesh erosion into the bladder after hernioplasty is sparsely reported in literature and may be underestimated in clinical practice. We report a case of a patient who was referred to our department due to recurrent urinary tract infections caused by a bladder stone due to mesh migration after inguinal hernia repair 22 years ago.
A 67-year-old male patient was referred from the outpatient urologist for transurethral resection of the prostate in September 2021 due to recurrent urinary tract infections caused by benign prostatic enlargement and bladder stone formation. During the operation, parts of the stone were smashed and the prostate was resected. Additionally, a mesh eroding from the bladder roof was detected masqueraded by the stone. A computed tomography scan, which was performed afterwards, revealed a 20 × 25 mm mesh migration into the bladder after inguinal hernia repair on the left with concomitant stone adhesion to the mesh. After revealing patient history, an inguinal hernia repair with mesh implantation was done 22 years ago. A robotic assisted partial cystectomy and mesh excision was performed. The patient recovered well.
Mesh erosion into the urinary bladder after hernia repair can occur up to two decades after the primary operation. Although it is rarely reported, it can be a possible cause for recurrent urinary tract infections and therefore a mentionable complication after inguinal hernia operation. Robotic-assisted laparoscopic partial cystectomy with complete excision of the mesh is an option for definitive treatment.
疝修补术后网片侵蚀入膀胱在文献中鲜有报道，在临床实践中可能被低估。我们报告了一例患者，该患者 22 年前因腹股沟疝修补术后网片迁移导致膀胱结石而反复发生尿路感染，随后因尿路感染被转诊至我们科室。
一名 67 岁男性患者因良性前列腺增生和膀胱结石形成导致反复尿路感染，于 2021 年 9 月由门诊泌尿科医生转至我院行经尿道前列腺切除术。在手术过程中，部分结石被粉碎，前列腺被切除。此外，还发现一个从膀胱顶部侵蚀的网片被结石掩盖。随后进行的计算机断层扫描显示，左侧腹股沟疝修补术后有一个 20×25 毫米的网片迁移到膀胱，同时有结石附着在网片上。在揭示患者病史后，我们进行了腹股沟疝修补术和网片植入术。患者恢复良好。
疝修补术后网片侵蚀入膀胱可在初次手术后长达 20 年发生。尽管它很少被报道，但它可能是反复尿路感染的一个潜在原因，因此是腹股沟疝手术后一个值得注意的并发症。机器人辅助腹腔镜部分膀胱切除术和网片完全切除是一种可行的治疗方法。
