title: Unusual videourodynamic finding: massive scrotal cystocele.
abstract: Urinary bladder involvement within inguinal hernias occurs in up to 4% of patients. However, massive extension of the bladder into the scrotum, or scrotal cystocele, is very rare, with less than 30 reported cases. The presenting symptoms vary. Most patients will have some element of voiding dysfunction. However, some patients will present with renal failure, sepsis, or bladder necrosis, although others will remain asymptomatic.(1-4) We report a patient who presented with irritative voiding symptoms and a large, right-sided hydrocele. On evaluation of his voiding symptoms, he was found to have a large scrotal cystocele.
authors.affiliation: Department of Urology, Loyola University Medical Center, Maywood, Illinois 60153, USA. cellimoottil@lumc.edu
authors.forename: Chandy
authors.initials: C
authors.lastname: Ellimoottil
authors.forename: Michael
authors.initials: M
authors.lastname: Ross
authors.forename: Spencer T
authors.initials: ST
authors.lastname: Hart
authors.forename: John
authors.initials: J
authors.lastname: Milner
mesh_terms: D000368:Aged; D052858:Cystocele / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008297:Male; D052801:Male Urogenital Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology*; D012611:Scrotum; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014563:Urodynamics / Q000502:physiology*; D014567:Urography / Q000379:methods*; D014741:Video Recording