A Giant Scrotal Hernia Case with Erectile Dysfunction

Aybala Ay,Ahmet Ay,Kuzey Aydinuraz

doi:10.5171/2013.980089

Abstract

Giant inguinal hernias are extremely rarely seen today, in fact never seen in developed countries, and accurate diagnostic and interventional approaches are of vital importance, given the significant morbidity and the decline in patient comfort that they cause.We present a case of giant inguinoscrotal hernia with a complaint of erectile dysfunction. The patient refused to have treatment due to social pressure related to possible orchiectomy procedure. We believe that sharing such examples primarily in the literature at least in terms of enriching the notion of a national emergency surgery will be a driving force in establishing more effective health policies.

Highlights

Giant inguinal hernias are extremely rarely seen today, never seen in developed countries, and accurate diagnostic and interventional approaches are of vital importance, given the significant morbidity and the decline in patient comfort that they cause.We present a case of giant inguinoscrotal hernia with a complaint of erectile dysfunction
Giant inguinal hernias are rarely seen today, never seen in developed countries, and accurate diagnostic and interventional approaches are of vital importance, given the significant morbidity and the decline in patient comfort that they cause (Chernev2010, Vano-Galvan2009)
We present a case of giant inguinoscrotal hernia that differs from classical inguinoscrotal hernias in many respects like erectile dysfunction, including urinary retention, skin ulcers, and infections that they induce

Summary

Introduction

Giant inguinal hernias are rarely seen today, never seen in developed countries, and accurate diagnostic and interventional approaches are of vital importance, given the significant morbidity and the decline in patient comfort that they cause (Chernev2010, Vano-Galvan2009). We present a case of giant inguinoscrotal hernia that differs from classical inguinoscrotal hernias in many respects like erectile dysfunction, including urinary retention, skin ulcers, and infections that they induce. We aimed to evaluate the case along with the presentation and medical history in light of the social structure of the Eastern and Southeastern Anatolia regions that have different dynamics in terms of national emergency surgical practice in particular. The medical history of the patient, who was referred from the urology department to the department of general surgery, revealed that he is experiencing testicular enlargement with pain which he had accustomed to for approximately 10 years, and that he had a new-onset erectile dysfunction. The medical history revealed that he was examined by a general surgery physician, diagnosed with inguinal hernia and recommended for surgical intervention

Objectives

Conclusion