Incidentally Detected Inguinoscrotal Bladder Hernia

Abstract

The bladder is involved in less than 4% of inguinal hernias. Inguinoscrotal bladder hernias are difficult to diagnose, and less than 7% are diagnosed preoperatively. Inguinoscrotal bladder hernias are usually asymptomatic. However, they can result in significant complications, such as bladder necrosis or acute renal failure. Accurate diagnosis is crucial to avoid bladder injury during surgery and other complications. Here we report the case of a 64-year-old man who presented with a scrotal mass. Ultrasonography of the scrotal mass showed a nonspecific cystic mass. During surgery, the mass was revealed to be a herniated bladder.

Inguinoscrotal Bladder Herniation: Case Report

“…5 Küçük mesane hernileri genellikle asemptomatik seyir gösterirken, geniş herniler kasık veya skrotum bölgesinde aralıklı şişme olması ve mesane çıkış obstrüksiyonuna bağlı alt üriner sistem semptomlarıyla karşımıza çıkabilmektedir. 6 Bazı geniş hernilerde iki fazlı miksiyon (1. faz spontan, 2. faz herni kesesinin elle kompresyonu) yakınmasıyla karşılaşılabilmektedir. 5 Preoperatif dönemde herni kesesi içinde mesanenin saptanması operasyon esnasında gelişebi-lecek olası komplikasyonların önlenmesi açısından oldukça önemlidir.…”

A Rare Cause of Inguinal Herniation: Bladder Herniation Two Cases Report

“…The standard treatment for inguinal bladder hernias is either reduction or resection of the herniated part bladder followed by surgical repair (herniorrhaphy) [1].…”

“…The diagnosis of bladder involvement is often difficult and are usually found incidentally during radiographic evaluation or at the time of herniorrhaphy. Most bladder hernias are direct and most cases occur on the right side [1,2]. Most cases are asymptomatic.…”

A rare cause of inguinal hernia: scrotal cystocele

“…The herniation of the bladder into the inguinal canal is not a common condition (2). Its incidence varies from 1-3% in men over the age of fifty (3,4). A large part of the bladder may herniate as well as herniation of only a diverticulum.…”