Bladder erosion and stone as rare late complication of laparoscopic hernia meshplasty: is endoscopic management an option?

Abstract

As laparoscopic hernia repair is slowly becoming the norm in the management of inguinal hernia, its remotely possible long-term complications have started becoming evident. We report an asymptomatic hanging anterior bladder wall calculus, formed over a migrated hernia mesh into the bladder 16 years after laparoscopic hernia repair and managed using holmium laser while performing transurethral resection of the prostate. There are only a few case reports in the literature regarding this issue, and the management suggested has been either periurethral cystoscopic pulling for extraction of the mesh or resection of mesh along with the bladder wall and cystorrhaphy. This is the first report of holmium laser being used for complete successful endourological management with a 2-year follow-up of protruded mesh in the bladder.

Keywords: Bladder erosion; Bladder stone; Hernia mesh; Holmium laser.

Fig. 1

a CT scan picture of anterior wall bladder calculus; b X-ray of the pelvis showing the calculus; c X-ray of the pelvis at 2 years of follow-up

Fig. 2

a Cystoscopic view of eroded hernia mesh after cystolithotripsy; b follow-up cystoscopy at 4 months