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Updated: Feb 13, 2026
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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
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Obstructive uropathy from complete bladder and bilateral ureteral incarceration within an inguinal hernia
Leah H Hellerstein1, Stuart Marshall Sacks1, Daniel K Hellerstein2
1University of Miami Miller School of Medicine, Miami, Florida, USA.
BMJ Case Reports
|March 1, 2018
Summary
A man experienced severe scrotal swelling due to a total bladder herniation into an incarcerated inguinal hernia. Surgical repair successfully resolved urinary symptoms and restored normal bladder function.
Area of Science:
- Urology
- Surgical Gastroenterology
Background:
- Inguinal hernias can present with rare complications.
- Bladder herniation is an uncommon consequence of inguinal hernias, particularly in obese patients with comorbidities like hypertension and gout.
Observation:
- A 59-year-old male with obesity, hypertension, and gout presented with significant scrotal edema and lower urinary tract symptoms.
- Physical examination revealed extreme scrotal swelling obscuring the phallus and umbilicus.
- Imaging confirmed total bladder herniation within an incarcerated right inguinal hernia.
Findings:
- The patient was diagnosed with a total bladder herniation into an incarcerated right inguinal hernia.
- Surgical intervention involved hernia repair and repositioning of the bladder and ureters.
Implications:
- Successful surgical repair resolved the patient's urinary symptoms.
- The procedure prevented complications such as vesicoureteral reflux or urinary retention.
- This case highlights the importance of considering rare hernia complications in patients with obstructive voiding symptoms.
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