A rare complication from total extraperitoneal (TEP) laparoscopic inguinal hernia repair: bladder rupture associated with a balloon dissector.

PURPOSE: We report a rare complication of TEP herniorrhaphy. METHODS: A 47-year-old man underwent TEP inguinal hernia repair. RESULTS: Bladder rupture was noted after balloon dissection. The defect was sutured, and the hernia was repaired under laparoscopy. Cystoscopy showed the site of injury at anterior bladder neck. CONCLUSION: This is the first report of bladder rupture associated with balloon dissector in a patient with no prior abdominal surgery.