Skip to main content
SpringerLink
Log in

Inguinoscrotal herniation of bladder: case series and literature review

  • Original Article
  • Published:
European Surgery Aims and scope Submit manuscript

Summary

Background

Bladder hernias are relatively rare condition while only accounts for 1–4 % of inguinal hernias. It is not the surgery but the diagnosis that remain the major challenges of clinical practice.

Methods

Herein, we report five cases of bladder hernias with different clinical presentation, and review of current literature.

Results

The definite diagnosis relies on clinical suspicion and multiple urographic imaging. Sonography is a preferred image modality for its inexpensive and noninvasive nature. Abdominal computed tomography (CT) could depict the anatomic details of the hernia lesion and its relationship with the surrounding pelvic organs. Although bladder herniation is not a malignant condition, it can be fatal due to iatrogenic surgical complications.

Conclusions

In addition to current indications, refractory urinary tract infection should be viewed as another indication of partial cystectomy. Besides, repeated urography should be considered as the tool to ensure the result of surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Server Pastor G, Lopez Cubillana P, Hita Villaplana G, Prieto Gonzalez A, Hita Rosino E, Server Falgas G. Inguinal bladder hernia. Report of 4 cases. Actas urologicas espanolas. 1994;18:670–3.

    CAS  PubMed  Google Scholar 

  2. Kraft KH, Sweeney S, Fink AS, Ritenour CW, Issa MM. Inguinoscrotal bladder hernias: report of a series and review of the literature. Can Urol Assoc J [Journal de l’Association des urologues du Canada]. 2008;2:619–23.

  3. Izes BA, Larsen CR, Izes JK, Malone MJ. Computerized tomographic appearance of hernias of the bladder. J Urol. 1993;149:1002–5.

    CAS  PubMed  Google Scholar 

  4. Levine B. Scrotal cystocele. J Am Med Assoc. 1951 Dec 8;147:1439–41.

    Article  CAS  PubMed  Google Scholar 

  5. Wagner AA, Arcand P, Bamberger MH. Acute renal failure resulting from huge inguinal bladder hernia. Urology. 2004;64:156–7.

    Article  PubMed  Google Scholar 

  6. Casas JD, Mariscal A, Barluenga E. Scrotal cystocele: US and CT findings in two cases. Comput Med Imaging Graph. 1998;22:53–6.

    Article  CAS  PubMed  Google Scholar 

  7. Bacigalupo LE, Bertolotto M, Barbiera F, et al. Imaging of urinary bladder hernias. AJR Am J Roentgenol. 2005;184:546–51.

    Article  PubMed  Google Scholar 

  8. Oruc MT, Akbulut Z, Ozozan O, Coskun F. Urological findings in inguinal hernias: a case report and review of the literature. Hernia. 2004;8:76–9.

    Article  PubMed  Google Scholar 

  9. Catalano O. US evaluation of inguinoscrotal bladder hernias: report of three cases. Clin Imaging. 1997;21:126–8.

    Article  CAS  PubMed  Google Scholar 

  10. Karaman ZC, Saray A, Dorak C, Tamac NI. Ultrasonographic diagnosis of massive bladder hernia. J Clin Ultrasound. 1993;21:534–6.

    Article  CAS  PubMed  Google Scholar 

  11. Verbeeck N, Larrousse C, Lamy S. Diagnosis of inguinal bladder hernias: the current role of sonography. JBR-BTR. 2005;88:233–6.

    CAS  PubMed  Google Scholar 

  12. Andac N, Baltacioglu F, Tuney D, Cimsit NC, Ekinci G, Biren T. Inguinoscrotal bladder herniation: is CT a useful tool in diagnosis? Clin Imaging. 2002;26:347–8.

    Article  PubMed  Google Scholar 

  13. Pasquale MD, Shabahang M, Evans SR. Obstructive uropathy secondary to massive inguinoscrotal bladder herniation. J Urol. 1993;150:1906–8.

    CAS  PubMed  Google Scholar 

  14. Thompson JE, Jr, Taylor JB, Nazarian N, Bennion RS. Massive inguinal scrotal bladder hernias: a review of the literature with 2 new cases. J Urol. 1986;136:1299–301.

    PubMed  Google Scholar 

  15. Colodny AH. Bladder injury during herniorrhaphy. Manifested by ascites and azotemia. Urology. 1974;3:89–90.

    Article  CAS  PubMed  Google Scholar 

  16. Novaretti JP, Silva RD, Cotrim CA, Souto LR. Migration mesh mimicking bladder malignancy after open inguinal hernia repair. Hernia. 2012;16:467–70.

    Article  CAS  PubMed  Google Scholar 

  17. Bjurlin MA, Berger AD. Herniorrhaphy mesh as nidus for bladder calculi. Urology. 2011;78:329–30.

    Article  PubMed  Google Scholar 

  18. Panagiotakis GI, Spyridakis KG, Chatziioannou MN, Kontopodis NG, Kandylakis SE. Repair of an inguinoscrotal hernia containing the urinary bladder: a case report. J Med Case Reports. 2012;6:90.

    Article  PubMed Central  Google Scholar 

  19. Regis L, Lozano F, Planas J, Morote J. Bladder cancer in an inguinoscrotal vesical hernia. Case Rep Oncol Med. 2012;2012:142351.

    PubMed Central  PubMed  Google Scholar 

  20. Pastor Navarro H, Martinez Ruiz J, Carrion Lopez P, et al. Tumor inside an inguinoscrotal bladder hernia. Arch Esp Urol. 2010;63:471–6.

    Google Scholar 

Download references

Acknowledgements

The authors also like to thank those who gave the valuable suggestions that contributed to the work of this manuscript.

Conflict of interest

The authors declare that there is no conflict of interest in relation to this article.

Author information

Authors and Affiliations

  1. Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

    T.-H. Lee MD, C.-N. Huang, S.-P. Huang & T.-Y. Huang

  2. Department of Urology, College of Medicine, Kaohsiung Medical University, 100 Shih-Chuan 1st Road Sanmin District, Kaohsiung City 807, Taiwan

    W.-J. Wu & Y.-S. Juan MD, PhD

  3. Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan

    M.-Y. Jang, J.-T. Shen, W.-J. Wu & Y.-S. Juan MD, PhD

Authors
  1. T.-H. Lee MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C.-N. Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S.-P. Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T.-Y. Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M.-Y. Jang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J.-T. Shen
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. W.-J. Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Y.-S. Juan MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Y.-S. Juan MD, PhD.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, TH., Huang, CN., Huang, SP. et al. Inguinoscrotal herniation of bladder: case series and literature review. Eur Surg 46, 74–78 (2014). https://doi.org/10.1007/s10353-014-0251-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10353-014-0251-2

Keywords

Search

Navigation