Ces Urol 2017, 21(3):236-240 | DOI: 10.48095/cccu2017033

Herniation of the urinary bladder

Tomáš Hradec, Michael Pešl, Petr Macek, Libor Zámečník, Tomáš Hanuš

Urologická klinika Všeobecné fakultní nemocnice a 1. LF UK v Praze

Hradec T, Pešl M, Macek P, Zámečník L, Hanuš T. Herniation of the urinary bladder. In two case studies we present patients with inguinal and inguino-scrotal herniation of the urinary bladder. The first patient had inguinal bladder herniation caused by lower urinary tract obstruction due to benign prostate hyperplasia and presented with urinary frequency, urgency and nocturia. The second patient had a rare extensive inguino-scrotal bladder herniation caused by urethral stricture after robot-assisted radical prostatectomy. As presented in the case studies, ultrasound and computed tomography (CT) play an important role in diagnostics of inguinal bladder hernias. Surgical repositioning of the bladder wall and hernia repair is the standard method of treatment. It might be hard to differentiate between lower urinary tract symptoms (LUTS) caused by bladder herniation, by obstruction of lower urinary tract or both. Further examination of the lower urinary tract after hernioplasty is therefore essential to identify possible persisting obstruction which might lead to recurrence of the hernia. Obstruction of the urinary tract might be treated by surgery or conservatively by pharmacotherapy.

Keywords: Urinary bladder herniation, inguinal hernia, inguino-scrotal hernia, hernia repair, scrotal cystocele.

Received: August 5, 2017; Accepted: September 24, 2017; Published: October 16, 2017