[Massive bladder hernia].
OBJECTIVE
We report a case of a huge bladder hernia conditioning the migration of almost all the bladder into the scrotum.


RESULTS
65-year-old male being studied for BPH who presents a scrotal tumor, which turned out to be a huge inguinal bladder hernia in scrotum, paraperitoneal, accompanied by an inguinal hernia. The treatment consisted in bladder resection and repair of the inguinal hernia with a marlex mesh. Later on, a TURP was done. At a six month control, the patient was non-asymptomatic.


CONCLUSIONS
Bladder hernia is an uncommon pathology, and in most of the cases it is an incidental finding during the repair of an inguinal hernia. It can be intraperitoneal, extraperitoneal or paraperitoneal. The diagnosis is clinical, but comfirmation can be done by retrograde cystoghraphy, ultrasonography or CT The treatment is surgical, repairing the herniation or adding the resection of the bladder herniation.
Servicio de Urología, Hospital Universitario de Bellvitge, Barcelona, España. 37615lfc@comb.es
Lluís
L
Fumadó Ciutat
José
J
Rodríguez Tolrà
Sergio
S
Pastor López
Luis
L
Riera Canals
Eladio
E
Franco Miranda
D000368:Aged; D006552:Hernia, Inguinal / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000601:surgery