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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.
Archivos Espanoles De Urologia
|April 28, 1999
Summary
This study details four adult inguinal bladder hernia cases. Early diagnosis and surgical repair are crucial for managing bladder hernias, especially when associated with urinary obstruction.
Area of Science:
- Urology
- Surgical Anatomy
Background:
- Inguinal bladder hernias are rare in adults.
- Often associated with lower urinary tract symptoms and bladder outlet obstruction.
- Can be incidentally discovered during inguinal hernia repair.
Observation:
- Four adult cases of inguinal bladder hernia were identified between 1986 and 1998.
- Etiologies included benign prostatic hyperplasia and prostatic carcinoma.
- Diagnosis involved standard imaging and clinical examination.
Findings:
- Two cases of bladder hernia were secondary to benign prostatic hyperplasia, managed with transurethral resection (TUR) or alpha-blockers.
- Two cases were associated with prostatic carcinoma, treated with hormone therapy.
- Surgical repair of the hernia was performed in three patients; one declined surgery.
Implications:
- Incidental discovery during herniorrhaphy allows for straightforward repair.
- Undetected hernias can lead to complications if incorporated into surgical sutures.
- Preoperative diagnosis of significant bladder hernias necessitates surgical intervention and management of underlying urinary obstruction.