The presence of
Bladder hernia may get complicated by urinary tract infection, urinary tract obstruction, bladder wall infarction, epididymitis, and malignancy [5]. It is crucial to note that up to 10% of patients with bladder inguinal hernia are diagnosed to have bladder malignancies [4].
Patients are typically asymptomatic, however they may have nonspecific symptoms including urinary frequency, urgency, hematuria, and nocturia [7]. In rare cases of very severe bladder herniation, patients may describe two-stage micturition in which they feel the need to compress the scrotum in order to urinate [7].
Background: Lower urinary tract symptoms (LUTS) are frequently associated with inguinal hernias. It is important to recognise and treat bladder outlet obstruction in patients before inguinal hernia repair to prevent recurrence of hernia.
Incidence is higher (about 10%) in obese males, aged ≥50 years. Hernia sac could contain any portion of bladder (diverticulum, part of bladder, ureter or entire bladder). Condition where bladder is found in inguinoscrotal hernia sac is referred as scrotal cystocele. The first case was described in 1951 by Levine.
Other complications for both types of hernia repairs include: Difficulty urinating: Urinary retention occurs most frequently in older men and is the result of stimulation of nerves to the bladder during the operation. This is usually transient, lasting a few days, but occasionally it requires a catheter.
Abstract. Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon.
Generally, hernias aren't life threatening, but you can develop serious complications. If you notice any of the following symptoms, you should speak with your medical provider right away: sudden pain that gets worse quickly. nausea and vomiting.
Inguinal hernia can cause obstructive uropathy even if neither the ureters nor bladder are associated with, or involved in, the inguinal hernia sac. If it is in the patient's best interest, treating the urinary tract with nephrostomy or ureteric stent is appropriate until hernia repair is possible.
The standard treatment of inguinal bladder hernias is the surgical repair with a mesh to prevent recurrence. Inguinal hernias with complete urinary bladder herniation are rare. They are often difficult to diagnose and remain a surgical challenge. Preoperative imaging is essential to prevent iatrogenic injury.
The majority of patients with bladder hernias are diagnosed intraoperatively [6]. In the present case, the diagnosis was reached preoperatively as the patient underwent a CT scan as an investigation for his urinary symptoms and groin swelling.
Obstructive bladder dysfunction may be caused by a protrusion of the bladder neck or triangular area. There have been reports of sliding hernias combined with bladder diverticula that led to neurogenic bladder dysfunction.
Feeling or seeing something bulging through your vaginal opening. A feeling of fullness, heaviness or pain in your pelvic area. This feeling may get worse when you're standing, lifting heavy objects, coughing or as the day goes on. Going to the bathroom more than usual.
It is possible for a hernia to make you feel tired, although this is not a common symptom of hernias. For example, if the hernia is causing discomfort or pain, this can disrupt your sleep and cause you to feel tired during the day.
If it is left untreated, a strangulated hernia can lead to life-threatening conditions such as necrotizing enterocolitis (severe inflammation of intestine) and sepsis.
A hernia is a tear in your muscle or tissue that allows part of your insides to bulge out. It can be a bulge of an internal organ or your intestines. Sometimes you can see the hernia, depending on its location and size. Certain activities can worsen the condition, like bending over or lifting heavy objects.
When might I need emergency surgery? Seek immediate medical attention if there are signs that your hernia has become stuck or strangulated, which can be life-threatening and usually requires emergency surgery. Signs of this condition include: A hernia bulge that is suddenly larger than before.
sudden, severe pain. being sick. difficulty pooing or passing wind. the hernia becomes firm or tender, or cannot be pushed back in.
Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don't have any symptoms, or if the symptoms don't bother you much, you and your doctor may simply continue to watch for symptoms to occur.
A hernia usually does not go away without surgery. Non-surgical approaches such as wearing a corset, binder, or truss may exert gentle pressure on the hernia and keep it in place. These methods may ease the pain or discomfort and may be used if you are not fit for the surgery or awaiting surgery.
Inguinoscrotal herniation of the bladder is an uncommon condition. The patient may present with a painful groin lump and can be simultaneously experiencing lower urinary tract symptoms or urinary retention [1].
An inguinal hernia usually affects either the small intestine or the fatty tissue in the abdomen. An indirect inguinal hernia happens because a person has a pre-existing weakness, or they may be born with it.
Herniation of the urinary bladder is a relatively uncommon but not a rare condition. It occurs when the urinary bladder or ureter herniates into the inguinal canal, scrotal sac or femoral canal. Herniations through ischiorectal, obturator, or abdominal wall openings have also been described.