A Kocot1, E W Gerharz, H Riedmiller. 1. Department of Urology, Julius-Maximilians-University Medical School, Oberduerrbacher Strasse 6, 97080 Wuerzburg, Germany. kocot_a@klinik.uni-wuerzburg.de
Abstract
OBJECTIVES: To illustrate urological complications of laparoscopic inguinal hernia repair and discuss their management. PATIENTS: Between April 2002 and February 2004, four men (aged 38-63 years) were treated for serious complications 2 days to 11 years after unilateral (1 patient) or bilateral (3 patients) laparoscopic inguinal hernioplasty. RESULTS: In all cases (extra and intraperitoneal bladder injury, purulent urocystitis due to mesh-erosion of the bladder, secondary retroperitoneal fibrosis) open revision with complete drainage of the urinary tract was chosen as an efficacious therapeutic strategy. CONCLUSIONS: Awareness of rare complications of laparoscopic inguinal hernia repair may lead to early diagnosis and appropriate management.
OBJECTIVES: To illustrate urological complications of laparoscopic inguinal hernia repair and discuss their management. PATIENTS: Between April 2002 and February 2004, four men (aged 38-63 years) were treated for serious complications 2 days to 11 years after unilateral (1 patient) or bilateral (3 patients) laparoscopic inguinal hernioplasty. RESULTS: In all cases (extra and intraperitoneal bladder injury, purulent urocystitis due to mesh-erosion of the bladder, secondary retroperitoneal fibrosis) open revision with complete drainage of the urinary tract was chosen as an efficacious therapeutic strategy. CONCLUSIONS: Awareness of rare complications of laparoscopic inguinal hernia repair may lead to early diagnosis and appropriate management.
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