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[Inguinal bladder hernia in the adult]
A Sousa Escandón1, M Díaz Tie, F Maceira Quintian
1Servicio de Urología, Hospital Comarcal de Monforte, Lugo, España.
Objective:
To describe four additional cases of adult inguinal bladder hernia.
Methods:
From 1986 to 1998, four cases of bladder inguinal herniation were diagnosed at our services. The etiology, diagnosis, treatment, associated conditions and complications are presented.
Results:
Two cases had resulted from benign prostatic hyperplasia; one underwent TUR and the other was treated with alpha-blockers. The remaining two cases were due to prostatic carcinoma and were treated with hormone therapy. The bladder hernia was surgically repaired in three cases; the last patient refused surgery.
Conclusions:
A bladder hernia that is incidentally discovered during herniorrhaphy can be resolved without difficulty. However, problems may arise when an unsuspected bladder hernia is undetected due to preoperative bladder emptying and is included in the sutures of herniorrhaphy. When important bladder hernias are diagnosed preoperatively, surgical resolution is always indicated, as well as treatment by surgery or drugs of the urinary obstruction that contributed to the condition.