Inguinal bladder hernia. In TAPP, the surgeon goes into the .

Inguinal bladder hernia 1, 2 The diagnosis of bladder involvement is often difficult to delineate at the time of presentation and may only become apparent at the time of herniorrhaphy. Inguinal hernias account for 75% of all hernias Inguinal bladder hernias (IBHs) are a rare disorder, and it has been reported that IBHs account for 0. They cause a bulge in Bladder herniation through the inguinal canal is a rare condition, accounting for only 1-4% of all inguinal hernias. Meanwhile, inguinal herniation of the urinary bladder is rare, first described by Felix Platter and Dominic Sala in the sixteenth century [], with an incidence of 1–4% of inguinal hernias [1,2,3,4], while massive inguinoscrotal bladder hernia reaching to the The urinary bladder is often involved in an inguinal hernia, but herniation of the entire bladder into the scrotum is rare. previous abdominal surgery. 1 Bladder involvement occurs in 1–4% of inguinal hernias in the general population and in men above the age of 50 Inguinal bladder herniation (IBH) is an uncommon case, observed in only 1–5 % of all inguinal hernias. Your healthcare provider may have to drain your bladder for you. Reduction in hernia size after urination is a characteristic sign of IBH. It is often difficult to diagnose and remains a surgical challenge. Inguinal bladder hernia is a rare clinical condition, with 1-3% of all inguinal hernias involving the bladder. The effectiveness of laparoscopic repair for recurrent inguinal bladder hernia has been reported previously [[2], [3], [4]]; particularly, the laparoscopic approach is considered effective when the previous surgery involved the anterior approach [5]. some unusual contents may be an appendicitis, diverticulitis, colon cancer, urinary bladder, ovaries, and rarely malignant lesions. Most of these hernias present as a groin swelling and can be asymptomatic 3. 4-3% of adult inguinal hernia cases in western countries . Purpose of Review Robotic inguinal hernia repair (RIHR) is becoming increasingly more common since its initial description. It may be present with lower urinary tract symptoms but is often asymptomatic, making it a diagnostic challenge. The urinary bladder appeared grossly normal, without evidence of thickening, hemorrhage, or Inguinal bladder hernia is a relatively rare condition, accounting for less than 4 % of inguinal hernias [1]. Most of these hernias present as a groin swelling and can Inguinoscrotal hernia containing the urinary bladder is a rare entity, found in 1%–5% of inguinal hernias. In TAPP, the surgeon goes into the As long as a hernia can remain mobile (i. 6 Bladder hernias rarely have clinical sequelae and are usually found incidentally in imaging studies or during inguinal hernia repair. Abstract. The effectiveness of laparoscopic repair for recurrent inguinal bladder hernia has been reported previously [ [2] , [3] , [4] ]; particularly, the laparoscopic approach is considered effective when the previous surgery involved the Herniation of the urinary bladder is not rare. Most patients are asymptomatic, and diagnosis is made incidentally upon imaging or during surgical repairs. 5 The standard treatment for inguinoscrotal bladder hernia is herniorrhaphy. 3% of cases (n=38). Inguinal bladder hernia is a very rare condition. However, it is known that bladder injury during childhood inguinal hernia repair places a serious morbidity burden on children. Clinical presentation Inguinal hernia is one of the most common diseases and it usually contains the omentum and small intestine. are some parts you can fill in to prepare for your next appointment. Most small asymptomatic bladder hernias are commonly encountered and reduced successfully via the same incision during elective inguin Discussion Inguinal bladder hernia most often presents in older, obese males and clinicians should have a high index of suspicion when assessing patients with inguinal hernia. Seromas (collection of fluid). [1,2] Any portion of the bladder can herniate ranging from a small diverticulum to the entire bladder itself which is also referred to as scrotal cystocele. While inguinal hernias, in general, are much more common in males than in females, direct hernias, in particular, are rare in women since the broad ligament acts as an additional barrier. Although a bladder hernia frequently goes undetected, it can occasionally cause vague symptoms like lower urinary tract discomfort or urinary tract infections . In this report, we demonstrate a case of inguinal bladder hernia presenting as worsening left lower quadrant pain, groin pain, Bladder herniation occurs in an acquired direct inguinal hernia with the bladder pulled into the hernia, together with a sheath of peritoneum, which forms its sac. The urinary bladder was herniated through the right inguinal canal, confirming a direct inguinal hernia. 1% of inguinal hernia cases. e. Inguinal herniation of the urinary bladder is a rare occurrence involving less than 5% of inguinal hernias reported in literature. Our surgeons are highly trained experts in treating all types of hernias and gallbladder conditions, including complex repairs. colonic, or bladder injury A direct inguinal hernia is a consequence of weakened abdominal musculature, often brought on by. 8% in men and 2. In this way, a sliding inguinal hernia of the urinary bladder involves the urinary bladder herniating with the inguinal hernia sac itself. Most bladder hernias are direct inguinal hernias that involve the bladder in obese men older than 50 years old. The incidence of the urinary bladder within sliding hernias is 5. Connection Between Hernia and Urinary Issues: On the other hand, a hernia can also cause prostate problems. However, the presence of bilateral vesical sliding hernia is rare and few cases A-C) CT scan showing right direct inguinal hernia containing a bladder horn in axial and sagittal views. In children, the vast majority of inguinal hernias are indirect. It is designed to help you decide between . 65-year-old male who presented with gross hematuria, right inguinal swelling. Looks at the two types of surgery for treatment. The Center for Hernia and Gallbladder Surgery at Weill Cornell Medicine provides the most effective care possible, using personalized and multidisciplinary treatment. The treatment of inguinal bladder hernia is either reduction or resection of the herniated bladder, followed by herniorrhaphy. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. Inguinal hernias, which are located in the groin, are relatively common among men and are easy to diagnose with a simple inspection. When the hernia pushes against the bladder, it can cause urinary retention or incontinence. Clinical presentation Classification. (especially bladder) and vascular injuries 10. Inguinal bladder hernia was first We present a case report of inguinal bladder hernia in a middle-aged man that presented as left lower quadrant pain, groin pain, and dysuria. Inguinal hernias are the commonest type of abdominal wall hernias (up to 80% 3) and are most often acquired. We present a case series with preoperative diagnoses, along with their surgical outcomes. We report a case of an obese male aged 40 presenting with a bulge increasing gradually in the right groin Bladder involvement in inguinal hernia is rare with most cases being identified at the time of hernia repair and there is a 17% risk of intra-operative bladder injury. Complete herniation of the bladder and distal ureters is rare, and few cases of resultant acute kidney injury or hyperkalaemia have been reported. However, many hernias do not cause pain. The hernia will typically cause pain and possibly nausea at this stage. There are two approaches: either the transabdominal preperitoneal (TAPP) or the totally extraperitoneal (TEP) procedure. Cystography performed during intravenous or retrograde urography is a simple way to make Inguinal bladder hernia is uncommon. Surgical management pertaining to the approach, repair and potential need for Inguinal hernia is a common disorder that requires urgent and adequate surgical management. are about . Inguinal hernia. We report a 56-year-old man wit Inguinal hernia is a type of groin hernia. Cystography performed during intravenous or retrograde urography is a simple way to make Hernia surgery is the most frequent in visceral surgery. 5% and less than 1% among all hernias [1, 2]. Clinical presentation. It may be due Objective: Inguinoscrotal hernia (ISH) of the bladder is a rare condition involved in less than 4% of inguinal hernias. The first described case of inguinal bladder hernia was reported by Levine in 1951 . It’s especially common in men. IBH occurs in 1–3% of inguinal hernias. Surgical management pertaining to the approach, repair and potential need for Inguinal bladder hernia (IBH) is an uncommon condition that was first described by Levine in 1951 as scrotal cystocele. The development of acute urinary retention in a patient mandates placement of a urinary catheter. IBH is frequently an incidental finding during surgery, which increases the risk of iatrogenic injury of the bladder. The incidence Abstract. Adhesions. 1 Reduced bladder wall tension, obesity, and Furthermore, urinary retention following inguinal hernia repair has a significant impact on hospital services. It can be evoked before surgery when the patient presents with The main visual symptom of bladder hernia was inguinal swell-ing in 60. A rare but serious problem called . Multiple organs may be associated with inguinal hernias, but bladder involvement is rarely seen. Most bladder hernias involve the An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. An inguinal bladder hernia (IBH) is an abnormal protrusion of the bladder into the inguinal canal accompanied by a peritoneum sheath that creates the hernia sac. The bladder is involved in approximately 1% to 4% of all inguinal hernias. The incidence of bladder herniation in patients with inguinal hernia has been estimated at Inguinal hernia may contain the bladder as one of its contents, 1 while bilateral inguinal bladder herniation is rare. In our case, frequent voiding was the main symptom Keywords: Hernia, PET-CT, testicle tumor, bladder hernia. Chronic pain. Herniations through ischiorectal, obturator, or abdominal wall openings have also been described. 4 Inguinal bladder hernia (IBH) is an uncommon condition that was first described by Levine in 1951 as scrotal cystocele. Among obese men aged 50 to 70, the incidence may reach 10%. Most patients are asymptomatic or have atypical symptoms. There is a recognized male predilection with an M:F ratio of up to 7:1 3. It can be diagnosed during either preoperative or random imaging examination, or intraoperatively, Classification. When the hernia reaches a comparatively large size, however, treatment options become more complicated. 1,2 Men with a history of lower urinary tract symptoms and/or previous hernia repair have an increased risk of bladder herniation. Inguinal herniae involve abdominal contents passing into the inguinal canal Background: Inguinal herniation of the urinary bladder is rare. Ruhl CE, Everhart JE (2007) Risk Factors for Inguinal Hernia among Adults in the US Population. Multiple organs may be associated with inguinal hernias, but bladder We report about a case of a large right-sided scrotal hernia with complete bladder herniation presenting without urological complications. Bladder hernia represents 0. Clinical presentations vary greatly from lower urinary tract symptoms (LUTS) and reduction in scrotal size after voiding to being entirely asymptomatic. The findings are characteristic unless associated with irregularity of the bladder wall Guides you through decision to have inguinal hernia surgery. Bladder hernias most commonly present as direct inguinal hernias, frequently occurring on the right side with a 70% male predominance . Preoperative Sliding hernia occurs when the hernia sac is partially formed by the wall of a viscus. Other groin Purpose Bladder hernias are asymptomatic in most cases and are found incidentally during exploration for inguinal hernia repair. Most bladder hernias are direct inguinal hernias that involve the bladder. This rare type of hernia can alter a patient’s quality of life by obstructing urination, requiring manual scrotal compression to fully empty the bladder, and lead to devastating complications such as hydronephrosis and kidney failure. Detailed evaluation with cystography or cystoscopy is also needed because a high incidence of urological malignancies (11. Inguinal bladder hernias mostly occur in patients beyond the fifth decade . Most urinary bladder herniations are diagnosed at the time of inguinal herniorrhaphy, and are therefore most commonly repaired through an inguinal incision. 1 Reduced bladder wall tension, obesity, and pelvic floor muscle weakness contribute to IBH pathogenesis. 5 Bladder resection should be undertaken only in cases with tumor in the herniated bladder, bladder wall necrosis The presence of inguinal hernia may be associated with extrinsic defects upon the bladder and ureter in the absence of actual herniation of the urinary structures. Inguinoscrotal bladder hernias may be associated with severe medical conditions, such as renal deterioration, and should be considered in the differential diagnosis of renal failure, when accompanied by any inguinal, scrotal, or low abdominal wall hernia. V Ravi, A Wilkins, 933 Inguinal Bladder Hernia: Case Report and Literature Review, British Journal of Surgery, Volume 110, Issue Supplement_7, Although the urinary bladder is involved in 1-4% of all inguinal hernias, extensive inguinoscrotal herniation of the bladder, termed scrotal cystocele, is very rare. [14] Illustration of an inguinal hernia. 2 Chronic urinary obstruction and obesity are associated with increased abdominal pressure and A sliding hernia is a type of hernia in which the contents one portion of a body cavity extends with the hernia sac into another body cavity. Bladder scans were performed if individuals had failed to void postoperatively within 1 h following the procedure, or if they were Inguinal bladder hernia is a relatively rare condition, accounting for less than 4 % of inguinal hernias . Symptoms depend on the size of the hernia. Axial computed tomography revealing bilateral hydronephrosis (arrowheads) at the kidney level. Different types of inguinal hernias. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. Furthermore, the tumour is removed, and the hernia is repaired as part of reports of preoperative diagnosis of a sliding inguinal hernia containing urinary bladder based on a plain abdominal x-ray showing urinary bladder calculi within the groin [10]. Abscesses. However, in the vast majority of cases the diagnosis is made after the hernia sac is opened (as seen on Introduction: Inguinal bladder hernia (IBH) is a rare condition that is difficult to diagnose preoperatively based only on physical examination; 16% of IBHs are diagnosed postoperatively due to complications. The radiographic demonstration of such a hernia is uncommon, despite its description by Robins as early as 1929 (7). INTRODUCTION. Inguinal hernias: Inguinal hernias are the most common type of hernia. This affection is often asymptomatic. It is usually asymptomatic and detected incidentally on imaging studies performed for different indications . Meanwhile, inguinal herniation of the urinary bladder is rare, first described by Felix Platter and Dominic Sala in the sixteenth century [], with an incidence of 1–4% of inguinal hernias [1–4], while massive inguinoscrotal bladder hernia reaching to the Background: Inguinal herniation of the urinary bladder is uncommon and those descending into the scrotum are even rarer. Case Presentation: A 65-year-old man Inguinal bladder hernia (IBH) is an uncommon occurrence in males with a groin mass. Unfor tunately, preoperative denitive diagnosis of inguinal bladder hernia is reported to be less than 7%, and most Inguinal hernia is a common disorder that requires urgent and adequate surgical management. Although open anterior repair has been used for inguinal bladder hernia, the efficacy of laparoscopic herniorrhaphy has been reported in Background Bladder hernias are rare conditions that are difficult to diagnose preoperatively; many cases are diagnosed intraoperatively or postoperatively due to bladder injury. Although in most patients it is an incidental finding during hernia repair, some patients present with complications related to herniated bladder. In the last 5 years short and long term patient outcomes, and specific utility in complex In women, hernias in the lower abdomen or groin are typically indirect inguinal hernias. Preoperative imaging is essential to prevent iatrogenic injury and complications. Methods We Inguinal hernias are a protrusion of abdominal contents through the fascia of the abdominal wall, through the internal inguinal ring. , be able to be pushed back where it belongs, like inside the abdomen), then treatment plans remain relatively easy. There . The procedure involved repairing the inguinal hernia using a laparoscopic trans-abdomino-pre-peritoneal approach (TAPP), with the application of a polypropylene mesh. The most common components of a sliding hernia includes the sigmoid colon, cecum, appendix, urinary bladder, and the ascending colon. A hernia is defined as the protrusion of part or whole of an organ or tissue through the wall of the cavity that normally contains it. Therapeutic intervention: the patient underwent surgery one week following the consultation. Inguinal hernias are more common in men. The bladder hernia is more common in males in their 50 s than females and usually presents a groin bulge associated with voiding difficulty, double voiding, or frequent urination. 1 Bladder involvement occurs in 1–4% of inguinal hernias in the general population and in men above the age of 50 years, this incidence approaches 10%. However, in our The main visual symptom of bladder hernia was inguinal swell-ing in 60. Herniation of the urinary bladder into an inguinal or femoral hernia has been known since the Middle Ages, with the first record of this entity by Plater in 1550 (10). 9% in women Only 1-3% of inguinal hernias involve the bladder, and very few of these hernias are associated with bladder carcinoma. Inguinal bladder hernias usually occur on the right side in obese men older than 50 years old, and comprise 0. The diagnosis is made per-or post-operatively following complications. A high index of suspicion is required, especially in older patients with long-standing history of benign prostatic hyperplasia and lower urinary tract symptoms, to achieve an accurate diagnosis prior to surgery to avoid inguinal hernia What is this leaflet? This leaflet is for people with an inguinal hernia. “For inguinal hernia recurrence, there’s about 3% to 5% risk of a hernia Abstract. 6–12. Biopsy of the anterior-lateral bladder wall showed normal urothelium and an abundant component of mature lobules of adipose tissue in the sub-epithelial connective tissue extending among the muscle Femoral hernias: Femoral hernias develop in the upper part of the thighs just beneath the groin area. 5–4. Inguinal fossae. The urinary bladder was partially emptied by cystocentesis , and gentle digital pressure was used to replace the urinary bladder into the abdomen. The two main subtypes that can occur: Direct inguinal hernia (20%) – Bowel enters the inguinal canal Inguinal bladder hernia was first described by (Levine in 1951) as a scrotal cystocele, which is a rare clinical finding. Any portion of the bladder may herniate, from a small portion or a diverticulum to At the time of the left inguinal hernia repair, the bladder was isolated from the inguinal hernia fat tissue and then opened with median cystotomy. Inguinal herniae involve abdominal contents passing into the inguinal canal (and can continue into the scrotum). Most of these cases are insignificant and diagnosed intra inguinal urinary bladder hernia [11]. 1 Bladder involvement occurs in 1–4% of inguinal hernias in the general population and in men above the age of 50 Bladder hernias occur by sliding through the inguinal or femoral canal due to the hernia sac pulling the bladder. Epidemiology. In most cases, IBH has An inguinal bladder hernia (IBH) is an abnormal protrusion of the bladder into the inguinal canal accompanied by a peritoneum sheath that creates the hernia sac. 1 Bladder hernias often have an asymptomatic onset and are detected incidentally during Inguinal bladder hernia is a rare condition, occurring in 1–5% of inguinal hernias, and it was first described by Levine in 1951 . Inguinal bladder hernia is uncommon. 5 years. Inguinal hernia is one of the most common diseases and it usually contains the omentum and small intestine. The inguinal canal is a tunnel through multiple layers of muscles and facia that the thin round ligament threads through. This is when a diverticulum or a part of the bladder wall is incarcerated within the hernia. We herein present a rare case of a 60-year-old female status post open hysterectomy who presented to emergency department with painful groin swelling and contrast enhanced computerized tomography of abdomen showed features of incarcerated Introduction Cases of inguinal bladder hernia are rare, with bladder involvement seen in 1–4% of inguinal hernias. 7 Inguinal bladder hernia is a rare clinical condition, with 1-3% of all inguinal hernias involving the bladder. The mean age of patients was 66. Includes an interactive tool to help you make your decision. Obesity, the elderly, gender, and previous operations are vigorous determinants for IBHs. Covers benefits and risks. Partial bladder herniation into the inguinal canal has an incidence of 1-3%. It is usually considered that 1–3% of all inguinal hernias involve the bladder [], and Iason [], in 1944, reported an incidence of 10% in men older than 50 years. [15,16] The symptoms are very close to those usually found in classical inguinal hernia symptoms but, patients described a smaller inguinal mass after voiding Abstract. Pages 1 & 2 . Previously research had shown that common in men between ages 50 and 70. There is a recognised male predilection with an M:F ratio of up to 7:1 3. It occurs when abdominal tissue pushes through the lower abdominal wall into your groin. We report 2 cases of inguinal hernia involving the bladder A study of four cases presenting as inguinal bladder hernia was performed based on a review of the clinical presentation, circumstances of diagnostics, and surgical management. Inguinal hernia is a common disorder that requires urgent and adequate surgical management. Herniation of the urinary bladder is not rare. Long-term chronic groin pain after inguinal hernia repair occurs in 10% of people. 2,3 The This type of hernia is known as a direct hernia, and it can occur anywhere in the abdominal wall, not just in the inguinal area. 3 In human medicine, predisposing factors include bladder outlet obstruction (prostatic enlargement, prostatitis, bladder neck contracture, or urethral Purpose Bladder hernias are asymptomatic in most cases and are found incidentally during exploration for inguinal hernia repair. 2%) is reported in patients with bladder hernia [- 12]. They include bladder control problems such as stress urinary incontinence (SUI) and overactive bladder (OAB), anal incontinence (AI), and pelvic organ prolapse (POP). Weakening of the bladder tone and supporting Among 4,151 adults across 32 countries, incidence of needing bladder decompression by catheterization due to inability to void after inguinal hernia repair (IHR) was 5. The pathophysiology of nontraumatically acquired scrotal hernias in most species is not well described, but includes congenital and acquired (anatomic, hormonal, and metabolic) etiologies. 1 Although most patients with IBH are asymptomatic; they can develop lower urinary tract symptoms including incontinence and dysuria. . Little is known about the subject and mainly based on case reports. This condition has been reported in literature, primarily in the form of case reports and case series. 1 Bladder herniation occurs through an acquired peritoneal defect Background. Patients Inguinal hernia repair is a common general surgery procedure with low morbidity. Patients with a bladder sliding inguinal hernia often present with obstructive urinary symptoms such as scrotal swelling, urination, incomplete voiding, hydronephrosis, and acute renal failure []. An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. The bladder appeared healthy with no signs of injury Inguinal bladder hernia (IBH) is an uncommon occurrence in males with a groin mass. As many as 4% of inguinal hernias may involve the bladder, usually in Displacement of the bladder outside of the pelvis by way of the inguinal canal represents an infrequent presentation of an inguinal hernia that rarely causes urinary tract obstruction. Since inguinal bladder hernias The urinary bladder hernia is defined as a state of sliding a part or whole bladder wall to the inguinal canal, with an incidence of 1–4% of all adult inguinal hernias [1,2,3,4]. inguinal hernia Difficulty emptying your bladder if your hernia is inguinal (in your groin). However, bladder hernias can become bothersome, painful, and potentially dangerous. Most bladder hernias involve the inguinal and femoral canals, with the latter more frequent in women, and a predilection for the right side has been reported. Little is Inguinal bladder hernia is an unusual condition that requires a high index of clinical suspicion for diagnosis. Inguinal hernia: Hernia located near the groin Abstract. Treatment As many as 4% of inguinal hernias may involve the bladder, usually in the form of a sliding hernia. It should be considered in obese men, over 50 years of age, with LUTS. Key risk factors include increasing age, male gender, lower urinary tract symptoms and previous hernia repair. When undiagnosed, it may be associated with bladder injuries during hernia repair. Most of the patients are male and the hernia is right-sided. 1 Isolated bladder involvement in inguinal hernias is rare. A bladder hernia is considered a direct inguinal hernia as it results from an acquired defect in the abdominal wall musculature. Methods We Inguinal bladder hernia is a relatively rare condition, accounting for less than 4 % of inguinal hernias [1]. Presenting symptoms included lower urinary tract symptoms (LUTS; three cases) and Inguinal bladder hernia (IBH), first described by Levine in 1951 as a “scrotal cystocele,” is a rare clinical condition . strain. Bladder herniation into the scrotum has also been called Inguinoscrotal hernia (ISH) of the bladder is a rare condition involved in less than 4% of inguinal hernias. Any portion of the bladder may herniate, from a small portion or a diverticulum to Inguinal herniation of the urinary bladder is a rare occurrence involving less than 5% of inguinal hernias reported in literature. Presentation of case: We report the case of a 56-year-old man who presented with left inguinal swelling and increased frequency of urination since eight years. Most patients are asymptomatic, and diagnosis is made inci. Horizontal section images of bilateral inguinal bladder hernias are described as “Pelvic Mickey Mouse Sign” because they resemble the Walt Disney character. advanced age. Inguinal hernia repair, although a common procedure, can present in complicated ways such as a sliding inguinal bladder hernia (IBH). [15,16] The symptoms are very close to those usually found in classical inguinal hernia symptoms but, patients described a smaller inguinal mass after voiding Difficulty emptying your bladder if your hernia is inguinal (in your groin). treatment options. Diagnosis was confirmed preoperatively with Intraoperative findings revealed a direct right inguinal hernia with complete herniation of bladder into the scrotum. Diagnosed preoperatively by CT scan to have bla Epidemiology. 4 The tissue within the hernia may be fat or the intestines – these are some of the most common – as well as the stomach, ovaries, or bladder. Introduction. It occurs when the urinary bladder or ureter herniates into the inguinal canal, scrotal sac or femoral canal. Discussion. It is five times more common than a direct inguinal hernia, and is seven times more frequent in males, due to the persistence of the processus vaginalis during testicular descent. You should go through it and then talk to your healthcare professional. 5% to 3% of all lower abdominal hernias and is most prevalent among men between 50 and 70 years of age 5 and the bladder is involved in approximately 1% to 4% of all inguinal hernias. Weakening of the bladder tone and supporting Inguinal bladder hernia (IBH) is an uncommon condition that was first described by Levine in 1951 as scrotal cystocele. Hematomas (collection of blood). Bladder involvement occurs in 1%–4% of cases of inguinal hernias. Background: The rate of bladder injury during inguinal hernia repair in children is not well known. If the diagnosis requires amendment, alternative surgical approaches are available. The majority of cases are diagnosed intraoperatively, with only 7% of bladder Partial bladder herniation into the inguinal canal has an incidence of 1-3%. We describe a rare case of a left femoral hernia involving the bladder in a Herniation of bladder diverticulum through the inguinal canal is a rare finding comprising <0. The bladder is rarely involved in groin hernia. The diagnosis is frequently done during surgery. These bulges may hurt or look more obvious when you strain your muscles, such as by picking something up or standing for an extended period of time. Elective inguinal hernia repair is typically planned as a day-case procedure. In most cases, it occurs to men older than 50 years who are overweight. Inguinal bladder hernia was first described by (Levine in 1951) as a scrotal cystocele, which is a rare clinical finding. However, postoperative urinary retention (PUR) occurs in up to 22% of patients, resulting in further extraneous treatments. 0% of all inguinal hernias [1–3 Possible risks include—Return of the hernia; infection; injury to the bladder, blood vessels, intestines or nerves, difficulty passing urine, continued pain, and swelling of the testes or groin area. 3 Typically, patients present with scrotal or inguinal swelling and, occasionally, the classic complaint of double voiding. The incidence of bladder involvement in inguinal hernias is 1%-4% . Many are longstanding and asymptomatic, although the sheer size can become Although bladder hernias occur in only 1% to 4% of all inguinal hernias in the general population, incidence approaches 10% in men older than age 50 years. Damage to the intestines or bladder for certain types of hernias or if the surgery is a laparoscopic repair. hjdj aer gtvipe qxwbz wqyqxyr zjlt acqp mdzop isag vck