Intravesical Mesh Migration After Hernia Repair: A Case Report.

Abstract

While the recurrence rates of inguinal hernia have been significantly reduced by the use of mesh in laparoscopic hernia repair, it has also introduced rare complications, including the uncommon erosion of the mesh into adjacent viscera. We report a 36-year-old male, who following left-sided hernia repair in 2014, presented with persistent dysuria, increased urinary frequency and chronic discomfort at the surgical site. Initially, his symptoms were intermittent but gradually progressed to recurrent urinary tract infections unresponsive to prolonged antibiotic therapy. On further investigation, ultrasound revealed an echogenic linear structure extending from the left inguinal region into the urinary bladder, and contrast-enhanced CT confirmed mesh migration, along with a pseudo-diverticular outpouching from the bladder wall. The imaging was corroborated by surgical findings, and the mesh was removed. This case adds to the limited existing literature and emphasizes the importance of considering mesh-related complications in patients with persistent urinary symptoms after hernia repair. Additionally, it highlights the key role of imaging in diagnosis and in guiding management.