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