Vesico-scrotal hernia with hypocontractile detrusor

• Published in: Archivos españoles de urología Vol. 54; no. 5; pp. 454 - 457
• Main Authors: Errando Smet, C, Batista Miranda, J E, Artigas Raventós, V, Arañó Bertrán, P
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.06.2001
• Subjects: Aged; Genital Diseases, Male - diagnosis; Hernia, Inguinal - diagnosis; Humans; Male; Scrotum; Urinary Bladder Diseases - diagnosis
• ISSN: 0004-0614

To present a case of massive inguinoscrotal hernia associated with low detrusor contractility. A 70-year-old male patient with a history of diabetes and a previous diagnosis of low contractile bladder presented with urinary retention. Acute renal failure secondary to ureteral obstruction and inguinal bladder herniation was diagnosed. The direct bilateral hernia was repaired. Postoperative urodynamic evaluation showed an acontractile bladder. Intermittent catheterization was started, with satisfactory functional result and improvement of renal function. Massive bladder hernia can present as acute renal failure without lower urinary tract obstruction. The underlying impaired detrusor contractility can be diagnosed by urodynamic evaluation. Surgical treatment, with self-catheterization if required, achieves good results with preservation of renal function.