Kania Piotr, Marczuk Paweł, Biedrzycki Jakub
Department of Urology and Urological Oncology, St. John Paul II Mazovian Provincial Hospital in Siedlce, Siedlce, Poland.
Cent European J Urol. 2023;76(1):64-67. doi: 10.5173/ceju.2023.211. Epub 2023 Feb 13.
The aim of this report is to underline proper differential diagnosis of scrotal enlargement and to highlight feasibility of minimally invasive robotic-assisted treatment of giant urinary bladder containing inguinoscrotal hernia. A 48-year-old patient was referred to the outpatient urology clinic with diagnosis of hydrocele. During the diagnostic procedures, it was confirmed that the scrotal enlargement is a giant inguinal hernia containing most of the urinary bladder. Robotic-assisted laparoscopic transabdominal preperitoneal hernia repair (TAPP) has been performed. The patient remains asymptomatic after 18 months of observation. Minimally invasive repair should always be considered due to better perioperative and postoperative outcomes.
本报告旨在强调阴囊增大的正确鉴别诊断,并突出微创机器人辅助治疗巨大膀胱合并腹股沟阴囊疝的可行性。一名48岁患者因鞘膜积液诊断被转诊至泌尿外科门诊。在诊断过程中,证实阴囊增大是一个包含大部分膀胱的巨大腹股沟疝。已实施机器人辅助腹腔镜经腹腹膜前疝修补术(TAPP)。经过18个月的观察,患者仍无症状。由于围手术期和术后效果更好,应始终考虑微创修复。