"Scrotal pouch"-scrotal herniation of bladder secondary to extensive bone resection due to chondrosarcoma: a simple and effective surgical treatment of urinary obstruction.
A patient developed a scrotal hernia of the bladder 6 years after resection of the pubic ramus for treatment of a chondrosarcoma. Because reconstruction of the pelvis was impossible, an alternative surgical solution was needed. A continent vesicocutaneous stoma with a full-thickness bladder tube was created. The hernia itself was not repaired, leaving the bladder and bowel loops in the scrotum. Nine years after surgery, the patient continued to perform clean intermittent catheterization. The patient had not experienced any strictures or infections. The demonstrated technique appears to be a feasible option when hernia repair is impossible.
von Rundstedt
F-C
FC
Department of Urology, University Witten-Herdecke, HELIOS Klinikum Wuppertal, Germany. friedrich.von-rundstedt@helios-kliniken.de
Waldner
M
M
Mathers
M J
MJ
Brandt
A S
AS
Lazica
D
D
Roth
S
S
D001859:Bone Neoplasms / Q000601:surgery*; D002813:Chondrosarcoma / Q000601:surgery*; D005832:Genital Diseases, Male / Q000209:etiology* / Q000601:surgery*; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D011630:Pubic Bone; D012611:Scrotum; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000601:surgery*; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods