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Complications of inguinoscrotal bladder hernias: a case series

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Although the urinary bladder is involved in 1–4% of all inguinal hernias, extensive inguinoscrotal herniation of the bladder, termed scrotal cystocele, is very rare. Most small asymptomatic bladder hernias are commonly encountered and reduced successfully via the same incision during elective inguinal hernia repair. However, larger bladder herniations can be associated with bladder infarction or obstruction, which require urgent intervention to preserve renal function and reduce morbidity and mortality. We present two cases of elderly men presenting with significant scrotal cystocele complications which necessitated urgent surgical intervention. We compare and contrast the two cases and discuss the presentation, investigation, diagnosis and treatment of these pathophysiological conditions.

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  1. Gomella LG, Spires SM, Burton JM, Ram MD, Flanigan RC (1985) The surgical implications of herniation of the urinary bladder. Arch Surg 120:964–967

    PubMed  CAS  Google Scholar 

  2. Laniewski PJ, Watters GR, Tomlinson P (1996) Herniation of the bladder trigone into an inguinal hernia causing acute urinary obstruction and acute renal failure. J Urol 156:1438–1439

    Article  PubMed  CAS  Google Scholar 

  3. Karaman ZC, Saray A, Dorak C, Tamac NI (1993) Ultrasonographic diagnosis of massive bladder hernia. J Clin Ultrasound 21:534–536

    Article  PubMed  CAS  Google Scholar 

  4. Vindlacheruvu RR, Zayyan K, Burgess NA, Wharton SB, Dunn DC (1996) Extensive bladder infarction in a strangulated inguinal hernia. Br J Urol 77:926–927

    PubMed  CAS  Google Scholar 

  5. Casas JD, Mariscal A, Barluenga E (1998) Scrotal cystocele: US and CT findings in two cases. Comput Med Imaging Graph 22:53–56

    Article  PubMed  CAS  Google Scholar 

  6. Thompson JE Jr, Taylor JB, Nazarian N, Bennion RS (1986) Massive inguinal scrotal bladder hernias: a review of the literature with 2 new cases. J Urol 136:1299–1301

    PubMed  Google Scholar 

  7. Bell ED, Witherington R (1980) Bladder hernias. Urology 15:127–130

    Article  PubMed  CAS  Google Scholar 

  8. Watson LF (1948) Hernia: anatomy, etiology, symptoms, diagnosis, differential diagnosis, prognosis and treatment, 3rd edn. Mosby, St. Louis, p 32

    Google Scholar 

  9. Wagner AA, Arcand P, Bamberger MH (2004) Acute renal failure resulting from huge inguinal bladder hernia. Urology 64:156–157

    Article  PubMed  Google Scholar 

  10. Bonani M, Fischer H, Schmid W, Stäubli M, Franzen D (2007) Subacute weakness of the lower limbs. Schweiz Rundsch Med Prax 96:1215–1218

    CAS  Google Scholar 

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Correspondence to M. E. O’Donnell.

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Bisharat, M., O’Donnell, M.E., Thompson, T. et al. Complications of inguinoscrotal bladder hernias: a case series. Hernia 13, 81–84 (2009).

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