Surgical repair of giant inguinoscrotal hernia containing the urinary bladder

Inguinal hernia repair is one of the commonest operations in surgical practice. Unusual contents of hernia sac are uncommon, but are likely to be encountered by a surgeon in his career due to the frequency of hernia repair. The bladder is involved in less than 4% of inguinal hernias. These patients usually present with frequent episodes of urinary tract infection, difficulty in walking and difficulty in initiating micturition because of incarceration of the urinary bladder into the scrotum. The incidence may reach 10% among obese men who are 50-70 years old. Most cases are asymptomatic and are usually found incidentally during radiographic evaluation or at the time of herniorrhaphy. Massive inguinoscrotal bladder hernia, also known as scrotal cystocele, is very rare. In India, there was only few reported case of inguinoscrotal bladder hernia. Here we report a case of left inguinoscrotal bladder hernia who presented with a scrotal mass. We also provide a review of the relevant literature