[Vesico-scrotal hernia with hypocontractile detrusor].
OBJECTIVE
To present a case of massive inguinoscrotal hernia associated with low detrusor contractility.


RESULTS
A 70-year-old male patient with a history of diabetes and a previous diagnosis of low contractile bladder presented with urinary retention. Acute renal failure secondary to ureteral obstruction and inguinal bladder herniation was diagnosed. The direct bilateral hernia was repaired. Postoperative urodynamic evaluation showed an acontractile bladder. Intermittent catheterization was started, with satisfactory functional result and improvement of renal function.


CONCLUSIONS
Massive bladder hernia can present as acute renal failure without lower urinary tract obstruction. The underlying impaired detrusor contractility can be diagnosed by urodynamic evaluation. Surgical treatment, with self-catheterization if required, achieves good results with preservation of renal function.
Errando Smet
C
C
Unidad de Urodinamia, Servicio de Urología, Fundación Puigvert, C/ Cartagena 340-350 08025 Barcelona, España.
Batista Miranda
J E
JE
Artigas Raventós
V
V
Arañó Bertrán
P
P
D000368:Aged; D005832:Genital Diseases, Male / Q000175:diagnosis; D006552:Hernia, Inguinal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D012611:Scrotum; D001745:Urinary Bladder Diseases / Q000175:diagnosis*