AI Article Synopsis

  • A 54-year-old male patient had a rare case of a giant inguinal scrotal bladder hernia that caused issues with urination and led to kidney problems.
  • A thorough examination and imaging confirmed the hernia and associated mild hydronephrosis, and surgery was performed to repair the hernia and restore normal bladder function.
  • Post-surgery, the patient showed significant improvement with normalization of clinical and lab results, highlighting the effectiveness of surgical intervention for this uncommon condition.

Article Abstract

Objectives: To report one case of giant inguinal scrotal bladder hernia associated with incipient bilateral obstructive uropathy.

Methods: We report the case of a 54-year-old male patient presenting with two-time interrupted voiding, with the need of scrotal compression to complete voiding. Physical examination showed a great left inguinal scrotal hernia with significant post void residual before compression. Serum creatinine was 1.7 mg/dl. Voiding cystourethrogram and intravenous urography confirmed the diagnosis of bladder hemia with mild hydronephrosis. Inguinal hernioplasty with bladder hernia reduction was indicated.

Results: Morphologically and functionally satisfactory. Clinical and analytical normalization.

Conclusions: We emphasize the rarity of bilateral supravesical obstructive uropathy secondary to bladder hernia. We concur with other authors in the validity of conservative reconstructive surgery in cases such as the one reported.

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