Inguinoscrotal bladder hernias: report of a series and review of the literature

Abstract

Bladder involvement occurs in 1%-4% of cases of inguinal hernias. Among obese men aged 50 to 70, the incidence may reach 10%.1,2 The diagnosis of bladder involvement is often difficult to delineate at the time of presentation and may only become apparent at the time of herniorrhaphy. Surgical management pertaining to the approach, repair and potential need for bladder resection may challenge the surgeon. We report a series of 4 cases of large inguinoscrotal bladder hernias and provide a literature review. Our goal is to highlight the clinical presentation and the decisive issues surrounding the diagnosis and management of this condition.

Rare cause of bilateral hydronephrosis: urinary bladder herniation

“…Tüm inguinoskrotal hernilerin %1'inde mesanenin de herni kesesi içinde olduğu bildirilmiştir (2). 50 yaş üzerinde bu oranın arttığı, mesane hernisinin sağ tarafta daha sık görüldüğü belirtilmektedir (3).…”

“…Miksiyon sonrası kasıktaki şişlik boyutlarında azalma ve miksiyonun iki aşamada gerçekleşmesi mesane hernisinin spesifik bulgularıdır. İki aşmalı miksiyonda, işeme refleksiyle normal mesane boşaltıldıktan sonra elle kompresyon ile herniye olan mesanedeki idrar boşaltılır (2). Bu nedenle inguinoskrotal herni yanında spesifik ya da nonspesifik semptomlar varsa, herni operasyonu öncesi radyolojik değerlendirme yapılması önerilir.…”

Bladder incarceration with perforation in scrotal herniation: A case report

“…In large hernias the classical symptom is a 2-stage urination in which the first stage is spontaneous and the second one is facilitated by manual compression of the scrotal mass. 6 In…”

A Complicated Urinary Bladder Diverticulum Herniation: A Case Report

“…detection, while erect radiographs can detect 100% of such hernias. 6 Pointing of the bladder toward the side of the hernia, i.e. angulation of the bladder base anteroinferiorly, is the CT sign of bladder herniation.…”

“…It may demonstrate hypoechogenic mass lesion protruding from the bladder through the inguinal canal into scrotum. 6 Voiding cystourethrography is best diagnostic imaging modality for inguinal bladder hernia. It may reveal dog-ear shaped bladder in the scrotum.…”