[Giant bladder hernia associated with bilateral incipient obstructive uropathy].
OBJECTIVE
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.
Cruz Guerra
Nicolás Alberto
NA
Servicio de Urología, y de Cirugía General, Complejo Hospitalario de Zamora, Zamora, España. ncruzguerra@wanadoo.es
Albarrán Fernández
Manuel
M
Porto Sierra
Máximo
M
Tarroc Blanco
Antonio
A
D006547:Hernia / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014517:Ureteral Obstruction / Q000209:etiology*; D001745:Urinary Bladder Diseases / Q000150:complications*