The involvement of the urinary tract in inguinal hernias

• Published in: Annali italiani di chirurgia Vol. 69; no. 6; p. 795
• Main Authors: Carrieri, P, Nardi, S, Basili, G C, Vitali, A, Nistri, R
• Format: Journal Article
• Language: Italian
• Published: Italy 01-11-1998
• Subjects: Aged; Chronic Disease; Hernia - diagnosis; Hernia - etiology; Hernia, Inguinal - complications; Hernia, Inguinal - diagnosis; Hernia, Inguinal - surgery; Herniorrhaphy; Humans; Male; Scrotum; Ureteral Diseases - diagnosis; Ureteral Diseases - etiology; Ureteral Diseases - surgery; Urinary Bladder Diseases - diagnosis; Urinary Bladder Diseases - etiology; Urinary Bladder Diseases - surgery
• ISSN: 0003-469X

The involvement of the organs of the urinary tract in an inguinal hernia represent a constant trap for the surgeon because the diagnosis of that pathology is very rare. The authors report two cases: 1) male, carrier of a voluminous bilateral inguinal hernia, that on the right, contains a diverticulum of the bladder. 2) male, with a bilateral inguinoscrotal hernia. Bilaterally the hernia contains the ureter. The hernias of the bladder properly called are very rare but the involvement of a small portion of the organ, often a diverticulum, in an inguinal hernia is more frequent and always associated with hypertrophy of the prostate. The relative symptoms to this interest seem to supply obvious indications but very rarely are interpreted in the right way. The hernias of ureter are rare too, some acquired, some, about a quarter, congenital. The case-history don't supply useful news for the diagnosis. In the most of the cases of involvement of the urinary tract organs in an inguinal hernia, we arrived at operative-room without knowing the hernia content. The structures of urinary tract usually are recognised by particular maneuvers but is not infrequent that, moreover unforeseen, they are accidentally damaged.