Endourological Management of Bladder Mass following Herniorrhaphy

Introduction: In this article, we reported bladder mass arising from a reaction to silk material used to manage missed bladder hernia repair. Case Presentation: The patient was a 47-year-old man presenting with urinary symptoms. CT scan identified a 6-cm heterogeneous appearance mass on the right side of the bladder dome; initial Biopsy revealed no malignancy. The patient underwent deep transurethral resection (TUR), following which silk suture materials were removed by endourologic management. Histopathologically the tumor represented inflammatory granuloma. The patient had significant improvement and gradual resolution of the residual mass at 6-month and one-year follow-ups. Conclusion: By TUR, silk suture materials were removed and inflammatory granuloma was treated.