Pereira Arias J G, Gutíerrez Díez J M, Ateca-Díaz Obregón R, Berreteaga Gallastegui J R
Servicio de Urología, Hospital de San Eloy, Vizcaya.
Actas Urol Esp. 1998 May;22(5):449-53.
Inguinoscrotal bladder hernias are uncommon clinical facts more predominant in males aged between 50 and 70. This entity has no specific clinical character and diagnosis usually happens in the course of surgical repair of inguinal hernia. In about 3%-10% cases, it appears associated to inguinal hernia. Discussion of two case-reports of patients with giant inguinoscrotal bladder hernia; one patient with synchronous association to bladder transitional carcinoma. The literature on the clinical, diagnostic and therapeutic aspects is revised. The high index of suspicion for making a pre-operative diagnosis, specially in aged patients with inguinal hernia and expanded prostate signs and symptoms is highlighted. Emphasis is placed on the need for surgical hernia repair prior to prostate and/or bladder transurethral surgery.
腹股沟阴囊膀胱疝是一种不常见的临床情况，在50至70岁男性中更为常见。该病症没有特定的临床特征，诊断通常在腹股沟疝手术修复过程中进行。在约3%-10%的病例中，它与腹股沟疝相关。讨论两例巨大腹股沟阴囊膀胱疝患者的病例报告；其中一例患者同时合并膀胱移行癌。对有关临床、诊断和治疗方面的文献进行了综述。强调了术前诊断的高度怀疑指数，特别是在患有腹股沟疝且有前列腺增生体征和症状的老年患者中。重点强调了在进行前列腺和/或膀胱经尿道手术之前进行疝修补手术的必要性。
