A rare cause of inguinal hernia: scrotal cystocele

Abstract

Herniation of the urinary bladder into the inguinal canal is rare. It constitutes 1-3% of all inguinal hernias. Bladder herniation is usually asymptomatic, and it is usually diagnosed during surgery or as a result of intra-operative bladder injury. Male patients with lower urinary tract symptoms or with a history of previous hernia surgery are at increased risk of bladder herniation. Typically, patients complain of inguinal or scrotal swelling, dysuria and shrinkage of scrotal swelling after voiding. Early diagnosis with radiological imaging is important to prevent complications during surgery. Intravenous pyelography, retrograde cystography, pelvic ultrasound, computed tomography and magnetic resonance imaging can be used for preoperative diagnosis. In this report, a patient is presented who presented to our clinic with scrotal swelling and was diagnosed with scrotal bladder herniation by retrograde cystography, taken due to clinical suspicion based on his history.

Die Blasenhernie: eine Fallserie und Review der Literatur

“…Das MZU wird als der Goldstandard in der Diagnose der Blasenhernie angesehen [3,6,9,13,14,16]. Bei Vollausprägung stellt sich der Bruchsack bis ins Skrotum dar, bei leichteren Formen eine "fliegenden Untertasse" [9].…”

“…Akt UrolDie Patienten sind häufig asymptomatisch und in 77 % der Fälle erfolgt die Diagnose erst inzidentell intraoperativ[6,9,13,16] oder inzidentell während einer radiologischen Abklärung. Das häufigste sichtbare Symptom ist eine inguinale Schwellung in 60.3 %[10].…”

Bladder hernia complicated with cystolithiasis and bladder tumor: Two cases' analysis

“…Inguinal bladder hernia is an uncommon entity, observed in 1%–3% of inguinal hernias. [1] The diagnosis is often not recognized before surgical repair; <7% are diagnosed preoperatively while 16% are diagnosed postoperatively. [2]…”

The Rarest of Rare Case of Scrotal Cystocele

“…Scrotal cystocele is a type of urinary bladder hernia, where the bladder herniates into the scrotum constituting to less than 4% of the hernias. 1 They are seen more commonly in elderly men who present with preexisting lower urinary tract abnormalities or prior surgeries. The herniation of the bladder to the scrotum was defined as scrotal cystocele for the first time by Levine in 1951.…”