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Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614


CRUZ GUERRA, Nicolás Alberto; ALBARRAN FERNANDEZ, Manuel; PORTO SIERRA, Máximo  and  TARROC BLANCO, Antonio. Giant bladder hernia associated with bilateral incipient obstructive uropathy. Arch. Esp. Urol. [online]. 2005, vol.58, n.7, pp.669-671. ISSN 0004-0614.

OBJECTIVES: To report one case of giant inguinal scrotal bladder hernia associated with incipient bilateral obstructive uropathy. METHODS: We report the case of a 54-year-old male patient presenting with two-time interrupted voiding, with the need of scrotal compression to complete voiding. Physical examination showed a great left inguinal scrotal hernia with significant post void residual before compression. Serum creatinine was 1.7 mg/dl. Voiding cystourethrogram and intravenous urography confirmed the diagnosis of bladder hernia with mild hydronephrosis. Inguinal hernioplasty with bladder hernia reduction was indicated. RESULTS: Morphologically and functionally satisfactory. Clinical and analytical normalization. CONCLUSIONS: We emphasize the rarity of bilateral supravesical obstructive uropathy secondary to bladder hernia. We concur with other authors in the validity of conservative reconstructive surgery in cases such as the one reported.

Keywords : Bladder hernia; Hydronephrosis; Surgery.

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