Pre surgical evaluation of scrotal cystocele by conventional radiography (Cystogram)

This study reports two rare cases of inguinal bladder hernias accompanied by localized prostate cancers. They were treated with simultaneous repair of inguinal bladder hernias and open retropubic radical prostatectomy. Additionally, we performed a literature review on previous inguinal bladder hernias case reports. In this present study, the first patient was a 64-year-old man histopathologically diagnosed with prostate cancer; computed tomography for staging of prostate cancer revealed a “Pelvic Mickey Mouse Sign.” The second patient was a 75-year-old man with right inguinal swelling that gradually increased in size for 30 years. He was referred to our department due to nocturia and urge incontinence. His prostate-specific antigen level was 4.17 ng/mL, and a transrectal prostate biopsy revealed prostate cancer. Preoperative imaging studies revealed a right hernia wherein most of the bladder slid beyond the inguinal channel filling the scrotum. Both patients underwent the Lichtenstein technique for inguinal bladder hernias simultaneously with retropubic radical prostatectomy using separate surgical incisions to avoid urinary contamination of the mesh. In our comprehensive review of patients who underwent inguinal bladder hernias surgical repair, there were 51 cases (50 males and 1 female). The mean patient age was 60.6 ± 12.3 years. Five cases demonstrating concomitant prostate cancer were observed. This present case report is the first to describe two patients who underwent surgeries for the simultaneous repair of inguinal bladder hernias and retropubic radical prostatectomy with separate surgical incisions. Supposedly, this simultaneous approach is suitable for concomitant inguinal bladder hernias and prostate cancer treatment.

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Repair of Inguinal Bladder Hernias Concomitant with Localized Prostate Cancer: A Case Report and Review of the Literature

Hata

Takahashi

Kimura

et al. 2020

Case Reports in Urology

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İnguinal Mesane Herniasyonu: Olgu Sunusu

Reşorlu¹,

Aylanç²,

Toprak³

et al. 2017

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Mesanenin inguinal kanala herniasyonu oldukça nadirdir ve bu hastalar sıklıkla asemptomatiktir. Semptomatik olduklarında genelde nonspesifik üriner semptomlar vardır. Erken tanı konulması gelişebilecek komplikasyonların ve cerrahi sırasında iatrojenik mesane yaralanmalarının önlenmesinde önemlidir. Radyolojik görüntülemede altın standart sistografi olmakla birlikte preoperatif tanıda ek patolojilerin gösterilebilmesi amacıyla manyetik rezonans görüntüleme kullanılabilir.Anahtar Sözcükler: Mesane herniasyonu, sistografi, bilgisayarlı tomografi Herniation of the bladder into the inguinal canal is unusual, and these patients are frequently asymptomatic. When symptomatic, they generally exhibit nonspecific urinary symptoms. Early diagnosis is important in preventing potential complications and iatrogenic bladder injury during surgery. The gold standard in radiological imaging is cystography, but magnetic resonance imaging can be used to show additional pathologies at preoperative diagnosis.

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Scrotal Cystocele in a Sliding Left Inguinoscrotal Hernia: A Case Report and Review of Literature

Mohan¹,

Srinivasan²

2017

Euroasian Journal of Hepato-Gastroenterology

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Inguinoscrotal bladder herniation has a reported incidence of 1 to 4%. Although small bladder herniations are noted at the time of inguinal hernia repair, large bladder herniation into the scrotum is rare. These patients have a unique presentation of signs and symptoms. We report a case of a male patient of age 64 years who had a large inguinoscrotal hernia with bladder. He successfully underwent hernioplasty after repositioning of the bladder. Now, he is symptom-free and on follow-up.

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Pre surgical evaluation of scrotal cystocele by conventional radiography (Cystogram)

Cited by 3 publications

References 6 publications

Repair of Inguinal Bladder Hernias Concomitant with Localized Prostate Cancer: A Case Report and Review of the Literature

Repair of Inguinal Bladder Hernias Concomitant with Localized Prostate Cancer: A Case Report and Review of the Literature

İnguinal Mesane Herniasyonu: Olgu Sunusu

Scrotal Cystocele in a Sliding Left Inguinoscrotal Hernia: A Case Report and Review of Literature

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