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Large inguinal bladder hernias: can a preoperative diagnosis be made?

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Abstract

Purpose

Bladder hernias are asymptomatic in most cases and are found incidentally during exploration for inguinal hernia repair. The treatment of inguinal bladder hernia is either reduction or resection of the herniated bladder, followed by herniorrhaphy. We present a case series with preoperative diagnoses, along with their surgical outcomes.

Methods

We retrospectively reviewed the medical records from a single institution over a 5-year period (2012–2017) of five patients with diagnosis of large bladder inguinal hernia. Demographics, clinical status, medical history, anatomical structure of the hernia, and surgical outcomes were all analyzed.

Results

Patients’ median age was 51 years (range 45–81 years). The median size of the hernial sac was 13 cm (range 8–20 cm). The diagnosis was made with computed tomography in three patients and with ultrasonography and cystography in two patients. Median length of hospital stay was 2 days (range 1–6 days), and median length of follow-up was 28 months (range 18–72 months). All patients continue to be alive and well, without hernia recurrence. The five cases are described separately along with their surgical managements.

Conclusion

The main objectives in treatment of inguinal bladder hernia are to preserve the voiding function and to avoid bladder injuries in a tension-free hernia repair. To our knowledge, this is the first series of cases in which all inguinal bladder hernias were diagnosed preoperatively.

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Funding

This research did not receive any specific Grant from funding agencies in the public, commercial, or not-for-profit sector.

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Authors and Affiliations

  1. Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Nuevo León, Mexico

    M. Gonzalez-Urquijo, M. Rodarte-Shade & G. Gil-Galindo

  2. Hospital Metropolitano “Dr. Bernando Sepúlveda”, Adolfo López Mateos No. 4600, 66400, San Nicolás de los Garza, Nuevo León, Mexico

    M. Gonzalez-Urquijo, M. Rodarte-Shade, J. H. Bermea-Mendoza & G. Gil-Galindo

  3. Centro Especializado en el Tratamiento de Hernias, Hospital Médica Campestre y Unidad Médica de Atención Ambulatoria 55 (UMAA 55) del Instituto Mexicano del Seguro Social (IMSS), Guanajuato, Mexico

    J. C. Mayagoitia-Gonzalez

Authors
  1. M. Gonzalez-Urquijo
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  2. J. C. Mayagoitia-Gonzalez
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  3. M. Rodarte-Shade
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  4. J. H. Bermea-Mendoza
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  5. G. Gil-Galindo
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Corresponding author

Correspondence to G. Gil-Galindo.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Tecnologico de Monterrey Review Board reviewed and approved this study.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee of Tecnologico de Monterrey and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Written informed consent was obtained from the patients for publication of this case series and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.

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Gonzalez-Urquijo, M., Mayagoitia-Gonzalez, J.C., Rodarte-Shade, M. et al. Large inguinal bladder hernias: can a preoperative diagnosis be made?. Hernia 23, 1221–1227 (2019). https://doi.org/10.1007/s10029-019-01955-3

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  • DOI: https://doi.org/10.1007/s10029-019-01955-3

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