Migration of an abdominal mesh is a very rare complication. Few reports have described migrations to the bowels and to the urinary bladder but none reported the migration into an ileal bladder. This case report describes an extremely rare but possible migration of abdominal mesh into the lumen of the neobladder. We present a case of a 65 year old male patient who had an abdominal mesh migration into a reconstructed ileal neobladder. The management was done over two parts with endourology laser assistance and open approach. The report shows the possible causes and ways of management of this complication.