Inguinoscrotal Bladder Hernia Research Articles

Hernias vesicales inguinoescrotales

Despite the high incidence of inguinal hernias. In the general population, only a small percentage of them involve the bladder. Bladder wall weakness and bladder outlet obstruction are involved in its pathogenesis. We present our experience in the diagnosis and treatment of this rare disease. A total of eight patients have been diagnosed of inguinoscrotal bladder hernia and treated in our center over the last 18 years. In most cases, retrograde and voiding cystourethrograms, prostatic and bladder ultrasound, and uroflowmetry have been performed. The treatment varied depending on the characteristics of the herniated bladder tissues and bladder capacity. The treatment of bladder outlet obstruction varied depending on the etiology. Two patients presented at the emergency room of our centre, the others were diagnosed at the outpatient clinics of our department. Resection of the herniated bladder tissue was carried out in four patients due to the quality of the tissue; bladder-pexy to the abdominis rectus muscles was performed in one patient; hernia repair with bladder reintroduction was the treatment in the other four cases. Bladder outlet obstruction was treated in six cases. Seven patients showed clinical improvement, showing normal bladder morphology on post operative cystogram. Bladder hernia is a rare pathology often presenting in mid age males. It should be suspected in every male with lower urinary tract obstructive symptoms and associated inguinal hernia. Retrograde and voiding cystourethrogram are the radiological diagnostic tests of choice to evaluate this disease. The treatment of choice is that of the hernia and bladder outlet obstruction.

Inguinoscrotal bladder herniation: Is CT a useful tool in diagnosis? (case report)

Urinary bladder herniation into the inguinal canal is a rare occurrence. The condition is often diagnosed during inguinal hernia surgery. We present a rare case of inguinoscrotal bladder herniation with its computed tomography findings.

Giant inguino-scrotal bladder hernia: Report of a case

Bladder hernia is very uncommon. It tends to affect patients over the age of 50 and is predisposed by cervico-urethral obstruction. The condition is often diagnosed during inguinal hernia surgery. The authors report a case of massive inguino-scrotal bladder herniation. The different types of bladder hernia are described, and the clinical-radiological findings and surgical management are discussed.

Hernia vesical inguinoescrotal gigante

Inguinoscrotal bladder hernia occur in 0,4 to 3% of general poblation, though massive hernia are much rare.We present a new case of a giant inguinoscrotal bladder hernia, which was solved by surgery.It includes a clinical, diagnostic and therapeutic aspects, and a review of the relative literature.

Adiagnóstico ecográfico de herniación masiva de la vejiga a nivel inguinoescrotal: a propósito de un caso

We present a case of massive inguinoscrotal bladder hernia in a 58 years-old man with a left inguinal hernia. It was diagnosed by ultrasound during evaluation of a mass in the left inguinal region extending to the scrotum. Cystography later confirmed the ultrasound findings but provided no new information. Although filling cystography is considered to be the gold-standard radiological diagnostic procedure for this entity I the use of ultrasound should not be discared. Firstly I because direct and indirect ultrasonographics signs characterising inguinal bladder hernias have been reported, and secondly I to help in the differential diagnosis of a scrotal mass.

US evaluation of inguinoscrotal bladder hernias: Report of three cases

Although US is the method of choice in the evaluation of scrotal abnormalities, the literature is extremely poor regarding sonographic demonstration of scrotal hernias, especially bladder-containing ones. We report three cases of inguinoscrotal vesical herniation in which US was employed, proving to be satisfactory. We highlight the practical value of US, since a preoperative identification of the hernial content can avoid surgical bladder injuries and modify operative management of the herniation.