Urologic Involvement in the Management of Ureteral Hernias: A Case Series

In this case series, we describe our approach to the urologic management of ureteral hernias. This is a single-institution, multi-surgeon cohort of patients who presented with an abdominal hernia involving a ureter between 2018 and 2025. Among eight patients, seven male patients (87%) had an inguinal hernia involving the ureter. Six patients underwent urologic intervention at the time of inguinal hernia repair, most commonly preoperative ureteral stent placement (40%). Three patients (50%) experienced inguinal ureteral hernia recurrence, of whom two underwent ureteral reimplantation. Based on our experience, the majority of inguinal ureteral hernias can be managed with a preoperative ureteral stent at the time of hernia repair, although more complex ureteral reconstruction may be required in the setting of recurrence.