Laparoscopic Repair of Large Bladder Herniation Presenting as an Inguinal Hernia

Lee, Jong Yeon; Oh, Seung Young; Chang, In Ho; Choe, Jung Won; Park, Sang Ho; Ryu, Jae Hyung; Lee, Dong Min; Ryu, Young Woo; Lim, Song Won

doi:10.4111/kju.2013.54.2.139

Cited by 5 publications

(10 citation statements)

References 7 publications

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“…An exuberant indirect inguinal hernia, which was formed by the bladder reaching the inferior region of the scrotum, happens in less than 1% of the cases of inguinal hernias, as shown in Figures 1 - 2 [ 6 ]. We also highlight the singularity of the association between the entities [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Image of Bladder Herniation Concealed in a Frequent Diagnosis

Silva¹,

Cochicho²

2022

Cureus

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Herniation of the urinary bladder is a relatively uncommon condition, and when it herniates to the scrotum, it can also be called a scrotal cystocele. The incidence of inguinal herniation is estimated to vary between 1% and 3 % of all inguinal hernias. However, scrotal cystocele is believed to occur in less than 1% of cases and only 7% are diagnosed preoperatively.We present a case of a 91-year-old male who presented to our hospital with dysuria, fever, right scrotal pain, and tumefaction. In the course of the patient's evaluation, a CT scan of the pelvis was performed, which showed a right inguinal hernia constituting the bladder.A hernia reduction was performed, and it led to immediate symptomatic relief. After the procedure, antibiotics were initiated and administrated for the urinary tract infection.Bladder hernia and its extension to the scrotum is rare; therefore, this is a relevant case that may contribute to additional knowledge in the medical community.

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Section: Discussionmentioning

confidence: 99%

“…The herniation of the scrotum was first described by Levine in 1951 and defined as scrotal cystocele [ 5 ]. The incidence of scrotal cystocele is believed to occur in less than 1% of the cases, and only 7% are diagnosed preoperatively [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

A Rare Image of Bladder Herniation Concealed in a Frequent Diagnosis

Silva¹,

Cochicho²

2022

Cureus

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“…The urinary bladder is involved in 1–4% of all inguinal hernias 1. Review of the literature reveals that large scrotal cystoceles are very rare, occurring in fewer than 1% of cases and are diagnosed preoperatively in less than 7% of cases 2. An ultrasound and CT of the scrotum and pelvis can aid in the evaluation of a scrotal cystocele (figures 1 and 2).…”

Section: Descriptionmentioning

confidence: 99%

“…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.…”

Section: Descriptionmentioning

confidence: 99%

Water under the bridge: a rare case of scrotal cystocele

2013

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“…Depending on the relationship with the peritoneum, scrotal cystoceles can be classified into paraperitoneal, intraperitoneal and extraperitoneal types. There are currently very few cases of laparoscopic repair of bladder hernias in the published literature and no case of planned totally extraperitoneal (TEP) approach has been reported.…”

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confidence: 99%

Totally extraperitoneal approach for scrotal cystocele – a video vignette

Capitano

2018

Colorectal Disease

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was used to retract the anus. A V-shaped incision was made 1 cm away from the anal verge in the right lateral position. The flap included skin and subcutaneous fat and was mobilized sufficiently to create a tension-free anoplasty. Care was also taken during the dissection to preserve the vascular pedicles to ensure an adequate blood supply. Next, the base of the flap was sutured to the dentate line with 3-0 Vicryl â sutures. Finally, the remaining defect after advancement of the V-flap was sutured with 3-0 Vicryl â sutures.The patient was discharged on the first postoperative day after an uneventful course. After discharge, a high fibre diet was recommended. Supporting InformationThe video may be found in the online version of this article and also on the Colorectal Disease Journal YouTube and Vimeo channels: Video S1. V-Y advancement flap.Totally extraperitoneal approach for scrotal cystocele -a video vignette doi:10.1111/codi.13936Dear Sir, Scrotal cystocele is a large sliding inguinal hernia involving the urinary bladder. This situation is very rare, occurring in fewer than 1% of all inguinal hernias, and is diagnosed preoperatively in fewer than 7% of cases. Depending on the relationship with the peritoneum, scrotal cystoceles can be classified into paraperitoneal, intraperitoneal and extraperitoneal types. There are currently very few cases of laparoscopic repair of bladder hernias in the published literature [1][2][3][4] and no case of planned totally extraperitoneal (TEP) approach has been reported. This is the case of a 56-year-old obese man, with bilateral inguinal hernia, who reported a strange symptom: after micturition, the scrotal swelling decreased in size. CT scan highlighted a scrotal cystocele on the right side. Considering the extraperitoneal position of the bladder, the TEP approach seemed to be the most appropriate. The intra-operative diagnosis was double external right oblique hernia: one with a bladder-free peritoneal sac (so defined as extraperitoneal); and the other was a normal indirect inguinal hernia with a peritoneal sac. A macroporous partially absorbable lightweight mesh was used.Operative time was 100 min, without loss of blood. The patient achieved immediate resolution of the symptoms after surgery and was discharged on the first postoperative day. There was no recurrence at the 5-months follow-up.The TEP approach for scrotal cystocele is safe and feasible. S. Capitano

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Laparoscopic Repair of Large Bladder Herniation Presenting as an Inguinal Hernia

Cited by 5 publications

References 7 publications

A Rare Image of Bladder Herniation Concealed in a Frequent Diagnosis

A Rare Image of Bladder Herniation Concealed in a Frequent Diagnosis

Water under the bridge: a rare case of scrotal cystocele

Totally extraperitoneal approach for scrotal cystocele – a video vignette

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