American Journal of Surgery and Surgical Education | Volume 1, Issue 1 | Case Report | Open Access
Qasim Zia*
Muhammad Nouman UL Haq Khan1, Roohan Ahmad2, Hassan Ali Haider3, Qasim Zia4*, Amana Qayum5, Muhammad Sheeraz6
1Mufti Mehmood Teaching Hospital
2Gomal Medical College, MTI Dera Ismail Khan
3Pakistan Kidney and Liver Institute & Research Institute, Lahore
4Ibne Seina Hospital & Research Institute, MMDC, Multan
5Sofia Medical University, Bulgaria
6Nishtar Medical University, Multan
Fulltext PDFProsthetic mesh repair is widely accepted as the standard treatment for inguinal hernia due to its low recurrence rates and favorable long-term outcomes. Nevertheless, mesh-related complications may occur, sometimes many years after the initial procedure. Among these, migration and erosion of mesh into adjacent organs represent rare but clinically significant late sequelae. Intravesical mesh erosion is particularly uncommon and may present with nonspecific urinary symptoms, often resulting in delayed diagnosis.
We describe a case of delayed erosion of polypropylene mesh into the urinary bladder nearly a decade after open inguinal hernia repair. The patient presented with persistent lower urinary tract symptoms, recurrent urinary tract infections, and hematuria. Radiological imaging and cystoscopic evaluation confirmed intravesical mesh migration. Surgical removal of the mesh with partial cystectomy resulted in complete resolution of symptoms.
This case underscores the importance of maintaining clinical suspicion for mesh-related complications in patients with unexplained urinary symptoms and a history of hernia repair. Early recognition and coordinated multidisciplinary management are essential to prevent morbidity. A review of current literature regarding pathogenesis, diagnostic evaluation, and treatment strategies is also presented.
Intravesical mesh migration; Inguinal hernia repair; Mesh erosion; Bladder complications; Late surgical complication
Muhammad Nouman UL Haq Khan, Roohan Ahmad, Hassan Ali Haider, Qasim Zia, Amana Qayum, Muhammad Sheeraz. Delayed Mesh Erosion into the Urinary Bladder as a Late Complication of Inguinal Hernia Repair: A Case Report. Amer Jour Surg & Surg Edu. 2026;1(1):1-6.