Endoscopic holmium laser fragmentation and retrieval of migrated intravesical prolene mesh.
BMJ Case Rep
; 13(12)2020 Dec 22.
Article
em En
| MEDLINE
| ID: mdl-33370975
ABSTRACT
A 52-year-old man presented with lower urinary tract symptoms and intermittent haematuria for the last 6 months. He had undergone totally extraperitoneal right inguinal hernia repair a decade ago. The ultrasonography and an X-ray of the pelvis suggested a large radio-opaque shadow in the bladder. However, CT revealed an encrusted intravesical extension of the migrated mesh along the right anterolateral wall. The entire intravesical part of the migrated mesh with encrustations was successfully retrieved by endourological approach using holmium laser. The patient symptomatically improved and at follow-up, cystoscopy showed a complete re-epithelisation of the bladder mucosa. The intravesical extension of migrated mesh is a rare but challenging complication following mesh hernioplasty and can be successfully managed with a complete endoscopic approach.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Telas Cirúrgicas
/
Falha de Prótese
/
Migração de Corpo Estranho
/
Remoção de Dispositivo
/
Lasers de Estado Sólido
/
Herniorrafia
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article