Ureteral hernia is uncommon and usually misdiagnosed. From an anatomic point of view, we can distinguish between two uretero-inguinal hernias: intraperitoneal and extraperitoneal. Ureter inguinal hernias are nearly always indirect. This kind of hernia can include the ureter alone or, frequently, other abdominal sliding organs within the hernia sac (bladder, bowel tracts, etc.). Kidneys and urinary tracts present normal anatomic conformation, although renal ptosis may be found. As of July 2004, 139 cases of ureteral hernia had been described in the literature. Here we report a case of inguino-scrotal herniation of double district ureter and review the current literature to analyze the main clinical characteristics of this pathology and to establish pitfalls.

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Urethral prostheses for strictures or urinary incontinence are becoming more and more diffuse in urological practice for their simple use and low complication rate. Multiple prostheses can be used for complex urethral diseases, in which the contemporary correction of a stricture and urinary incontinence due to a sphincteric disease are needed.

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The very low rate of complications obtained with mechanical sutures in urinary diversions after cystectomy incited the Authors to use the mechanical stapling devices on the upper urinary tract. One case of surgical correction of meaureter with ureterocele has performed using GIA and ENDO-GIA stapling devices. Surgical time is shorter because with GIA stapling devices the ureter is cutted and sutured at the same time. The mechanical suture is tigh but at the same time preserves intact the blood supply to the ureteral wall. The ENDO-GIA devices are very maneageable, far from the body and allow to operate through a small incision of the wound. The follow-up I.V.P. performed 6 months later, shows the absence of urinary stones and a thin, peristaltic ureter with absence of hydronephrosis.