Clinical and radiographic findings of a sliding inguinoscrotal hernia containing the urinary bladder

Abstract

Large sliding inguinal hernias involving the urinary bladder are rare. We present the relevant clinical data, radiographic images, and the intraoperative findings of a sliding inguinoscrotal herniation of the urinary bladder. A 67-year-old male presented with a scrotal mass and the need to manually compress his scrotum in order to void. Diagnosed with a large sliding inguinal hernia with significant bladder involvement (scrotal cystocele), the patient underwent an inguinal herniorraphy and replacement of the bladder in the retroperitoneal space. Surgery proved to be successful in the management of the inguinal hernia and voiding dysfunction.

Laparoscopic repair of massive inguinal hernia containing the urinary bladder

“…The majority is extraperitoneal with the other types occurring infrequently. [47] A variety of etiologies have been described including ageing, obesity, urinary outlet obstruction, and loss of bladder tone with weakness of the supporting structures. [14]…”

“…suggest that an inguinal incision permits an adequate approach to the bladder and hernial sac. [711] Helleman et al ., in their approach, adopted the Bassini technique for repair of the hernia and argued against the use of a mesh in the presence of urine contaminated operative field. [8] Other authors recommend using a modified lichtenstein approach to repair the hernia.…”

Clinical and Radiographic Findings of a Sliding Inguinoscrotal Bladder Hernia

“…Patients frequently describe the need to manually compress the scrotum to empty the bladder. Hematuria, pain, renal failure, incarceration and perforation can occur [8,9].…”

Water under the bridge: a rare case of scrotal cystocele

“…An ultrasound and CT of the scrotum and pelvis can aid in the evaluation of a scrotal cystocele (figures 1 and 2). 3 When identified, the patient should have prompt surgical intervention to prevent complications that include haematuria, fistulas, sepsis, bladder infarction and hydronephrosis 2 3. Herniorraphies are performed through inguinal incisions.…”