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Large inguinal bladder hernias: can a preoperative diagnosis be made?
M Gonzalez-Urquijo1,2, J C Mayagoitia-Gonzalez3, M Rodarte-Shade1,2
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Nuevo León, Mexico.
Summary
This study highlights successful surgical outcomes for inguinal bladder hernias, emphasizing preoperative diagnosis and bladder preservation. All patients recovered well without recurrence.
Area of Science:
- Urology
- Surgical Oncology
- Radiology
Background:
- Inguinal bladder hernias are often asymptomatic and discovered incidentally.
- Standard treatment involves bladder reduction/resection and herniorrhaphy.
Observation:
- A case series of five patients with large inguinal bladder hernias was retrospectively reviewed.
- Median age was 51 years; median hernia sac size was 13 cm.
- Diagnosis utilized CT, ultrasonography, and cystography.
Findings:
- All five patients underwent successful surgical repair with no recurrence.
- Median hospital stay was 2 days, with a median follow-up of 28 months.
- This series achieved preoperative diagnosis for all inguinal bladder hernias.
Implications:
- Preoperative diagnosis of inguinal bladder hernias is feasible and crucial.
- Successful surgical management preserves voiding function and avoids bladder injury.
- This approach facilitates tension-free hernia repair.
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