Herniation Of Urinary Bladder Research Articles

Retraction: Urinary Bladder Hernia: A Rare Cause of Urinary Frequency.

[This retracts the article DOI: 10.7759/cureus.20993.].

Urinary Bladder Hernia: A Rare Cause of Voiding Disorders in Adults - A Case Report

Urinary bladder hernia is a rare event corresponding to the externalization of a bladder segment through the inguinal orifice, resulting from the association of wall weakness with increased intra-abdominal pressure. We report the case of a 38-year-old patient with no particular pathological history who presented to the urological surgery department complaining of dysuria associated with pollakiuria, intermittent left inguinoscrotal bulge, with the need to compress the scrotum to finish urination. The physical examination revealed a large, painless left inguinoscrotal hernia, the pressure of which caused an urge to urinate. Retrograde cystography noted filling of a left inguinoscrotal bladder portion during voiding with upstream bladder emptying. The examination was completed by a CT scan which revealed an inguinal parietal defect with a passage of the anterosuperior part of the bladder which fills up with contrast product at the delayed acquisition. Urinary bladder hernia is most often asymptomatic and its discovery is intraoperative in most cases. The diagnosis is suspected due to the association of inguinoscrotal hernia and urinary signs, especially two-step urination with the need to compress the scrotum during urination. Retrograde cystography is the best technique to image, showing a dogear-shaped bladder in the scrotum.

Incarcerated Inguinal Bladder Hernia: Case Report

The incidence of urinary bladder hernia accompanying inguinal hernias is 1-4%. Herniation of the urinary bladder into the inguinal canal and scrotum can cause urinary retention and hydronephrosis, bladder necrosis, and renal dysfunction. This study presents a case that underwent emergency surgery for an incarcerated inguinal hernia. The hernia sac included the urinary bladder in addition to bowel segments. An attempt to save the ischemic bladder wall during partial bowel resection failed, and the patient developed a vesicocutaneous fistula. The fistula was repaired, and the ischemic bladder wall was resected. During the repair of an inguinal hernia, general surgeons and urologists must be aware of this rare condition and work together in terms of patient management. Although the bladder-sparing approach can be performed in cases without signs of severe bladder ischemia, patients should be followed closely for complications related to ischemia.

Herniation of Urinary Bladder into Vaginal Tunic through Inguinal Ring in a Male Persian Cat

Herniation of Urinary Bladder into Vaginal Tunic through Inguinal Ring in a Male Persian Cat

Expression of Concern: Urinary Bladder Hernia: A Rare Cause of Urinary Frequency.

Expression of Concern: Urinary Bladder Hernia: A Rare Cause of Urinary Frequency.

Successful surgical repair of inguinal hernia causing positional obstructive uropathy: A rare cause of renal graft dysfunction - Case report

Bladder herniation with obstructive uropathy is a relatively rare occurrence, however, urinary bladder herniation along with ureteroneocystostomy and leading to positional obstructive uropathy of the graft is an unusual presentation. This is a unique case of a 38-year-old male who presented with inguinal hernia with raised serum creatinine who had undergone renal transplant 10 years back in 2011. Magnetic resonance urogram revealed herniation of urinary bladder and hydroureteronephrosis of transplant kidney. Patient is managed by surgical exploration through inguinal incision and reduction of ureteroneocystostomy herniation after ureterolysis and hernioplasty was performed. The cause of obstructive uropathy was herniation of the bladder along with ureteroneocystostomy, and the patient has an insidious onset of symptoms, immediate exploration, and repair of hernia done without any need for percutaneous nephrostomy. Importance of this case report is that sliding herniation of the bladder with ureteroneocystostomy should be considered a diagnosis and investigated if the patient presents with positional obstructive uropathy with inguinal hernia, leading to early identification and salvaging the graft function.

Urinary bladder herniation in the differential diagnosis of inguinal hernia

Urinary bladder hernia is a clinical condition that mimics symptoms of inguinal hernia. It is vital to predict and prevent the iatrogenic bladder injury that may develop secondary to inguinal bladder herniation during inguinal hernia surgery, which is frequently performed, and to be able to determine our preoperative and perioperative surgical approaches. Patients with a diagnosis of inguinal hernia who underwent elective and emergency surgery between 2018 and 2020 were reviewed retrospectively. Age, gender, body mass indexes, imaging modalities, operation techniques, duration of hospital stay, perioperative and postoperative morbidity and mortality of the patients were recorded. Bladder herniation was found in seven patients, five of whom underwent elective surgery and two of whom underwent emergency surgery. The median age of the patients was 84 (min.52-max 89). Perioperative bladder injury was observed in two of the 6 patients who underwent computed tomography in the past year. Two patients, who had a bladder injury, underwent primary repair and were followed up with a foley catheter. Postoperative duration of hospitalization was 3.28 (2-7) days on average and the duration of hospitalization was prolonged up to an average of 6 (5-7) days in two patients with bladder injury. No postoperative mortality and morbidity were observed. It should be taken into consideration that there may be urinary bladder herniation in the differential diagnosis of inguinal swelling in patients presenting with symptoms of inguinal hernia at an advanced age. There is a need for methods that may reduce the morbidity and mortality secondary to bladder herniation.

Imaging of inguino-scrotal urinary bladder hernias

Background: Herniation of urinary bladder through the inguinal canal is a rare disease that requires surgery. The resulting combination of failure of the abdominal wall and an increase in intra-abdominal pressure occurs prolapse of the urinary bladder in the inguinal canal and the occurrence of inguino-scrotal hernia. Case Presentation: This phenomenon is very rare and often misdiagnosed. It occurs more often in older men with increased body weight and symptoms of distal urinary obstruction and urinary infections. The symptoms usually are mild to moderate, associated with hindered urination and urinary infections, and if this condition is promptly left untreated it can lead to serious health problems, such as renal failure. computed tomography reconstruction in three planes is the method of choice in the diagnosis of inguino-scrotal hernia of the bladder. Conclusion: This method provides a clear display of the herniated part of the urinary bladder and allows detection of the contents of the hernia sac.

Presentation of a Rare Case: Acute Kidney Failure Developed Following Complete Urinary Bladder Herniation and Management of Postoperative Voiding Dysfunction

Inguinal bladder herniation is seen in 1% -4% of all inguinal hernia cases; most of them are asymptomatic and come up with swelling in the groin. In symptomatic cases, nonspecific findings such as lower urinary tract symptoms or pain due to strangulation of the hernia sac are seen. Two-stage micturition (manual pressure to the scrotum to empty residual urine) is a pathognomonic sign for the advanced case. Vesicoureteral reflux (VUR), bilateral hydronephrosis, urinary tract infection, acute kidney failure and bladder wall necrosis are complications that may be seen if the problem is not appropriately managed. Preoperative diagnosis rates are low (<7%) and 16% of the cases are diagnosed in the postoperative period, and most cases are detected intraoperatively. Radiologic examination performed for other indications such as non-contrast abdominal computed tomography (CT) may diagnose the bladder herniation. CT, cystography and ultrasonography are the techniques that can be used in the diagnosis and differential diagnosis. Intraoperatively, reduction of the herniated bladder with herniorrhaphy is a routine procedure. Partial cystectomy has to be made in case of bladder wall necrosis, presence of a tumor in the herniated bladder and narrow bladder neck which don"t allow reduction. In this case report, our aim is to explain the management of left inguinoscrotal complete bladder herniation and postoperative voiding problem.

Feasibility of robotic-assisted minimally invasive inguinal hernia repair in patients with urologic considerations including artificial urinary sphincters and bladder herniation.

Robotic surgical technology has the potential to broaden the applicability of minimally invasive approaches into more complex, technically challenging inguinal hernia repairs. A unique patient population requiring inguinal hernia repair are those patients who either have artificial urinary sphincters (AUS) or inguinal bladder herniation (IBH). Traditionally, these patients have not been considered candidates for minimally invasive inguinal hernia repairs. Through this retrospective series, we aim to contribute to the growing body of literature on robotic-assisted inguinal hernia repair (RIHR) by describing our experience with RIHR in this patient subset. We performed a retrospective chart review of RIHR cases performed from June 2017 to April 2019 by a single surgeon at our university-affiliated community hospital. Charts were reviewed for preoperative considerations, operative complications, and postoperative outcomes. A total of three patients with an AUS and six patients with IBH were included, all of whom were male. All the patients received transabdominal preperitoneal (TAPP) approaches, and all received placement of mesh. There were no intraoperative complications and no conversions to open surgery. Postoperatively, one patient with IBH had persistent surgical site pain that resolved after 3weeks and one patient, also with IBH, had a surgical site seroma that resolved without further intervention. Mean follow-up time was 10.71 and 12.13months for patients with AUS and IBH, respectively. No patients reported hernia recurrence during this time. This review suggests that the use of robotic assistance for laparoscopic inguinal hernia repair is safe and effective and may provide additional benefits for patients with concurrent urological considerations such as AUS and IBH.

Single stage reconstruction of a neglected open book pelvic injury with bladder herniation into the upper thigh: a case-report

When open-book injuries are neglected and result into a pelvic malunion or nonunion, long-term problems, such as chronic pain, gait abnormalities, sitting discomfort, neurological symptoms and urogenital symptoms can occur. In this case report, we describe the repair of a neglected pelvic disruption with the dislocation of the urinary bladder in a one-stage procedure. The clinical image with which the patient presented could be split into unique sub-problems, for which separate solutions needed to be chosen: large symphysis diastasis, instability and pain in both SI joints, malunion of the superior and inferior pubic rami fractures; and urinary bladder herniation into the upper thigh. In a single-stage procedure, the pelvic ring was reconstructed and the bladder reduced. The patient was thereafter continent for urine and could walk independently. A complex clinical problem was divided into its sub-problems, for which specific solutions were found.

Acute Renal Failure Caused by Giant Inguinoscrotal Bladder Hernia

Inguinal ureteral and concomitant urinary bladder hernia is an exceptionally rare phenomenon. It is reported that diagnosis of urinary bladder involvement in inguinal hernias are extremely difficult to make with about only 7% of such cases being identified preoperatively. We present a case of a 70-year old man with such inguinal hernia presenting with acute scrotal hemorrhage. Our patient presented with signs of sepsis (due to urinary tract infection) and no symptoms of strangulation. Due to the high risk of developing respiratory failure during the post-operative period of a giant hernia such as the one our patient presented with, a conservative approach with creation of nephrostomy was utilized. The patient currently is being followed up and awaiting complete surgical repair.

Difficult Preoperative Diagnosis of Femoral Urinary Bladder Herniation: A Case Report

Difficult Preoperative Diagnosis of Femoral Urinary Bladder Herniation: A Case Report

Bladder Hernia, Bladder Stone and Contralateral Bowel Hernia: An Usual Combination

We report and discuss a rare case of inguino-scrotal urinary bladder herniation (IBH) complicated with a big urinary bladder stone and contralateral indirect inguinal bowel hernia. A 68-year male patient presented to the outpatient urology department with a 4-year history of right inguino-scrotal pain and swelling, which was gradually increasing in size, and of intermittent swelling in the left groin. Physical examination revealed right irreducible inguino-scrotal hernia and reducible left inguinal hernia extending to the groin. Computerised Tomography (CT) revealed that the right side of urinary bladder was herniating through the inguinal canal into the right hemiscrotum along with a 22 mm urinary bladder stone. The patient underwent bilateral Lichtenstein tension-free mesh hernioplasty through inguinal incisions and transurethral laser cystolithotripsy in the same session. To the best of the authors' knowledge, this is the first reported case of bilateral inguinal hernia with concomitant bladder stone in the literature.

Incidental detection of urinary bladder herniation in 18F-fluorodeoxyglucose positron emission tomography/computed tomography mimicking as metastatic deposit in the inguinal canal

Although 18F-fluorodeoxyglucose (FDG) is the most extensively used tracer in oncological positron emission tomography/computed tomography (PET/CT) studies, various physiological as well as benign pathological conditions are known to cause false-positive results. This report describes 18F-FDG PET/CT done in an elderly man with primary hepatocellular carcinoma, revealing a metastasis mimicking lesion in the left inguinal canal, which was identified as the herniated portion of the urinary bladder. Though rare, bladder herniation, especially with a narrow neck, can be a pitfall in the evaluation for metastatic disease. The study also highlights the utility of delayed imaging in the evaluation of pelvic pathology.

Ventral herniation of urinary bladder as a sliding component through trocar suprapubic cystostomy scar - a case report

Suprapubic catheterization is common urological procedure. Rare complication (less than 10 cases reported) is herniation through trocar insertion site. In this case, 65 years Muslim male with history of urethral stricture presented with a reducible hernia in lower abdomen since 6 months following a trocar assisted suprapubic cystostomy done 1 year back. Lay open of pananterior urethra was done followed by 1 month later, prolene mesh hernioplasty.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.588-590

Inguinal Herniation of Urinary Bladder

ABSTRACT Urinary bladder hernia is evident into 1 to 3% of inguinal hernias. About 7% of bladder hernias are diagnosed preoperatively. The herniation of the bladder occurs in an acquired direct inguinal hernia with the bladder setting into the hernia along with the peritoneal sheath. This is a report of an elderly male with a para-peritoneal vesical hernia. This is a rare condition requiring a high index of suspicion to prevent complications like urinary tract infection, obstruction and incarceration of bladder wall. How to cite this article Dubhashi SP, Jenaw R. Inguinal Herniation of Urinary Bladder. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):66-67.

Single-incision laparoscopic transabdominal preperitoneal mesh hernioplasty: results in 182 Japanese patients.

We introduced single-incision transabdominal preperitoneal (S-TAPP) herniorrhaphy (described herein) at our institution in June 2010. We recently conducted a retrospective study to assess the feasibility and safety of the procedure. The study involved 182 patients (159 men, 23 women) who underwent S-TAPP herniorrhaphy between June 2010 and February 2015 for 202 groin hernias (162 unilateral hernias, 20 bilateral hernias). We examined patient characteristics, hernia type and presentation, operation time, conversion to another repair procedure, intraoperative blood loss, postoperative pain, morbidities, and postoperative hospital stay. We further evaluated operation time and morbidity by comparison between cases of simple unilateral hernia and cases of complicated unilateral hernia, which was defined as (1) a recurrent hernia, (2) hernia following radical prostatectomy, or (3) an incarcerated omental or bowel hernia. Five types of hernia were treated: indirect inguinal, direct inguinal, femoral, combined inguinal, and other (a urinary bladder hernia). Operation time was 92.5±29.1min for the unilateral hernias and 135.7±24.5min for the bilateral hernias. No major bleeding occurred. Postoperative pain was short-lived and easily managed. Overall morbidity was 8.2% (15/182 patients), and only one postoperative complication (recurrence) required surgical intervention (repeat S-TAPP). Average postoperative stay was 6.7±2.6days. Two patients experienced numbness in the outer thigh, but this resolved naturally. One superficial surgical site infection developed and was easily treated. Operation times were greater for the complicated vs. simple hernias, but the time differed significantly (p=0.02) only between radical prostatectomy-associated hernia and simple hernia. No complicated hernia required conversion to traditional laparoscopic repair, but in simple unilateral hernia group one conversion to traditional laparoscopic repair was required for difficulties encountered in the dissection of the large indirect inguinal hernia sac. The incidence of seroma was higher, though not statistically, in the complicated (n=3) vs. simple hernia group. S-TAPP repair of groin hernia was shown to be a feasible, safe procedure. The advantages are well understood, and further studies are warranted to confirm the long-term benefits suggested by our study.

Inguinal Herniation of Urinary Bladder on F-18 Sodium Fluoride (NaF) PET-CT.

Inguinal herniation of urinary bladder is uncommon and usually an incidental finding in asymptomatic patients. In some of these patients, residual urine volume and consequently, urinary tracer activity can be higher in the herniated bladder than the native bladder, in which case interpretation can be challenging on conventional planar imaging. We describe an interesting case of physiological activity in a herniated bladder simulating a "tear-drop". This case serves an important reminder that whilst F-18 NaF PET-CT has a similar spectrum of urinary activity to conventional bone scintigraphy; morphological correlation on hybrid imaging is invaluable in ensuring the physiological nature of uptake.

Acute Renal Failure Secondary to Giant Inguino-Scrotal Hernia with Bladder Herniation

1.1.Background: Inguinal hernia is one of the more frequent pathology to be treated by general surgeons. The presentation of urinary bladder herniation is less common, with a reported incidence near 0.36%-1% of cases. Most cases course asymptomatic, but urinary symptoms could be presented and in a few cases acute renal failure have been reported. 1.2.Case:We present the case of a 52-year-old man with a giant left inguino-scrotal incarcerated hernia. He has pathological background including multiple urinary tract infections and 2-years of evolution with a left inguinal hernia. He refers dysuria, urinary frequency, pushing, urgency and voiding in two times, needing partial reduction of inguinal hernia to complete (Mery sign). Previous 12 hours presented acute urine retention, with increasing left inguino-scrotal volume, in duration and severe pain, reason why he looked for hospital attention. At physical exam with analgesic position, glasgow 15, arterial tension 240/140 mmHg, 96 beats per minute, 26 breaths per minute, abdomen without compromise, left inguinal region with inguino-scrotal no-reductible hernia, painful at maneuvers and edematized, without vascular compromise signs. Both legs with edema ++/+++, tendon reflexesand distal perfusion. Acute urine retention was solved by a 18 French foley without complications. Blood chemistry evidence acute kidney injury reporting Creatinine 1.5 mg/dL, Urea 75 mg/dL, and BUN 35 mg/dL. Hematological parameters reports systemic inflammatory response with white blood cells 16200/mm3 without neutrophilia and other parameters within normal values as hemoglobine 13.8 g/dL, hematocrit 43% and platelets 448000. Urine general exam with infection data including leucocites >10μL, Nitrites+, Proteins 4g. Prostate Specific Antigen <2.5 ng/mL.Renal, bladder, inguinal and testicular ultrasounds were practiced and reported: Bleeder displacement by left inguinal canal and scrotum. Both kidneys, ureters and testis with normal characteristics. For the high suspect of urinary bladder herniation as the acute renal failure origin a retrograde cystogram was scheduled, finding in filling platecontrast material in urine bladder with 90% displacement to the scrotum by left inguinal canal. In post voiding projection residual urine is observed in left scrotum. During hospitalization the emergency hypertensive crisis was solved during first 24 hours and Lichtenstein hernioplasty was scheduled. A giant paraperitoneal scrotum cystocele was found, without ischemic signs. After three days renal function was normal with creatinine reduction to 0.8mg/dL, and antihypertensive medication were diminished progressively until day 15 when was suspended and foley removed. At six months follow up he remains asymptomatic. 1.3.Conclusion: In big inguino-scrotal hernias with urinary symptoms, bladder herniation must be suspected for the high rate of complications associated ranging from repetitive urinary tract infection to acute or chronic renal failure. Diagnosis confirmation allows surgery planning and diminishes associated morbidity.