A rare cause of inguinal hernia: scrotal cystocele
İsmail Zihni1, Ali Duran2, Volkan Soysal3
1Department of General Surgery, Süleyman Demirel University School of Medicine Hospital, Isparta, Turkey
2Clinic of General Surgery, Mardin Kızıltepe State Hospital, Mardin, Turkey
3Clinic of General Surgery, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey
Abstract
Herniation of the urinary bladder into the inguinal canal is rare. It constitutes 1-3% of all inguinal hernias. Bladder herniation is usually asymptomatic, and it is usually diagnosed during surgery or as a result of intra-operative bladder injury. Male patients with lower urinary tract symptoms or with a history of previous hernia surgery are at increased risk of bladder herniation. Typically, patients complain of inguinal or scrotal swelling, dysuria and shrinkage of scrotal swelling after voiding. Early diagnosis with radiological imaging is important to prevent complications during surgery. Intravenous pyelography, retrograde cystography, pelvic ultrasound, computed tomography and magnetic resonance imaging can be used for preoperative diagnosis. In this report, a patient is presented who presented to our clinic with scrotal swelling and was diagnosed with scrotal bladder herniation by retrograde cystography, taken due to clinical suspicion based on his history.
Keywords: Bladder, inguinal hernia, herniation
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - İ.Z., A.D., V.S.; Design - İ.Z., V.S.; Supervision - İ.Z., A.D., V.S.; Funding - İ.Z.; Materials - İ.Z.; Data Collection and/or Processing - İ.Z., A.D.; Analysis and/or Interpretation - İ.Z., V.S.; Literature Review - İ.Z., A.D., V.S.; Writer - İ.Z., A.D.; Critical Review - İ.Z.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.