Scrotal cystocele detected by sonography

We report two cases of scrotal cystocele. In patients suspected of having a scrotal cystocele, we believe that ultrasonography is the initial examination of choice. Emptying of a scrotal cystocele with voiding is an important diagnostic feature. Failure to show a direct communication between the bladder and scrotal cystocele with ultrasonography should not exclude the diagnosis. Scrotal cystocele should be considered in the differential diagnosis of the fluidfilled scrotum. The preoperative detection of massive inguinoscrotal bladder herniation is important to avoid bladder injury during herniorrhaphy.