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Inguinoscrotal Hernia of the Urinary Bladder – Diagnostic Problems in the Practice of Family Medicine and Urology – a Case Study

Michał Matyjaszczyk, Joanna Jaczewska–Matyjaszczyk, Mariola Matyjaszczyk

Med Sci Tech 2008; 49(4): CR247-248

ID: 881624

Introduction: Inguinoscrotal herniation of the urinary bladder, commonly referred as “scrotal cystocele,” is a rare clinical condition. Herniation of that type represents a small percentage of inguinal hernia, (1 to 4% of the cases). The vesicle sliding hernia is defined as “a shift of the bladder (lying extra-peritoneal) in the direction of gateway of the hernia, with pulling the peritoneum”. Until now there are only under 200 cases reported in the world literature. Case Report: This case report describes the problem of a 78 year-old patient with scrotal hernia and left scrotal hydrocele, who was admitted to the hospital ward displaying symptoms from the urinary bladder, retention of urine and two-stage micturition. In the first ultrasound examination no retention of urine was found. A later urography (“gold standard” examination) showed a large diverticulum of the bladder extending into the left scrotum. Summary: Two-stage surgical correction has been performed. Post-operative treatment required the joint cooperation of a surgeon, urologist and family physician. (Clin Exp Med Lett 2008; 49(4): 247-248)


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