Inguinoscrotal bladder hernias: report of a series and review of the literature

• Authors: Kate H. Kraft, Emory University; Sarah Sweeney, Emory University; Aaron S. Fink, Emory University; Chad Ritenour, Emory University; Muta M. Issa, Emory University
• Journal Title: Canadian Urological Association Journal
• Volume: Volume 2, Number 6
• Publisher: Journal de l association des urologues du Canada | 2008-12, Pages 619-623
• Type of Work: Article | Post-print: After Peer Review
• Subjects: Health Sciences, Medicine and Surgery; Health Sciences, General

Abstract

Bladder involvement occurs in 1%–4% of cases of inguinal hernias. Among obese men aged 50 to 70, the incidence may reach 10%.1,2 The diagnosis of bladder involvement is often difficult to delineate at the time of presentation and may only become apparent at the time of herniorrhaphy. Surgical management pertaining to the approach, repair and potential need for bladder resection may challenge the surgeon. We report a series of 4 cases of large inguinoscrotal bladder hernias and provide a literature review. Our goal is to highlight the clinical presentation and the decisive issues surrounding the diagnosis and management of this condition.