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[Massive inguinal vesical hernia. Report of 3 cases]
V Gonzalvo Pérez1, R Botella Almodovar, E Canto Faubel
1Servicio de Urología, Hospital Lluis Alcanyis, Xàtiva, Valencia.
Actas Urologicas Espanolas
|May 20, 1998
Summary
Vesical hernia, a bladder shift with inguinal hernia, is rare, especially massive inguinoscrotal types. Suspect in older men with urinary issues and inguinoscrotal hernias; diagnosis via serial voiding cystouretrography.
Area of Science:
- Urology
- Surgical Science
Background:
- Vesical hernia involves bladder displacement within inguinal hernia.
- It represents 0.4-3% of all inguinal hernias.
- Massive inguinoscrotal vesical hernia is exceptionally rare, with only 114 reported cases.
Observation:
- Clinical suspicion is key when inguinoscrotal hernias present in men over 50 with urinary obstruction.
- Serial voiding cystouretrography (SVCU) is the standard diagnostic tool.
- This condition is uncommon, highlighting the need for awareness.
Findings:
- The study reviews the definition, incidence, and clinical presentation of vesical hernias.
- Diagnostic methods and preferred treatment strategies are discussed.
- Emphasis is placed on the rarity of massive inguinoscrotal formations.
Implications:
- Early suspicion and diagnosis are crucial for effective management.
- Prompt surgical intervention, specifically extraperitoneal inguinal herniorrhaphy, is recommended.
- Addressing the underlying obstructive process alongside hernia repair is vital for optimal outcomes.