Ojea Calvo A, Rodríguez Alonso A, Pérez García D, Domínguez Freire F, Alonso Rodrigo A, Rodríguez Iglesias B, Benavente Delgado J, Barros Rodríguez J M, Nogueira March J L
Servicio de Urología, Hospital Xeral de Vigo.
Actas Urol Esp. 1999 Jan;23(1):79-82.
The hernia of the bladder in the scrotum is a highly uncommon observation. From the clinical standpoint the usual manifestation is a two-stroke voiding. The recommended urological examinations to reach a diagnosis are ultrasound, endovenous urography, retrograde urethrocystography and cystoscopy. Management includes the de-obstruction of the lower urinary tract, if present, resection of associated peritoneum, resection or reduction of the vesical hernia and repairment of inguinal path. The case contributed corresponds to a vesical hernia in a 72-year-old patient, with no obstructive cause, that was treated surgically by resection of the herniated bladder, with good morphological and functional results.
膀胱疝入阴囊是一种极为罕见的情况。从临床角度来看,其常见表现为两次排尿。为明确诊断所推荐的泌尿外科检查包括超声、静脉肾盂造影、逆行尿道膀胱造影和膀胱镜检查。治疗包括解除下尿路梗阻(若存在)、切除相关腹膜、切除或还纳膀胱疝以及修补腹股沟通道。所报道的病例为一名72岁患者的膀胱疝,无梗阻原因,通过手术切除疝出的膀胱进行治疗,取得了良好的形态和功能结果。