Bladder inguinal hernias: diagnostic value of CT and surgical outcomes with TAPP.

Abstract

Background: Bladder inguinal hernias are relatively rare, accounting for 0.5-5% of all inguinal hernias. They often present with nonspecific symptoms, making diagnosis challenging. Without timely treatment, complications such as urinary tract infection, bladder obstruction, or renal dysfunction may occur. Early recognition is crucial, and computed tomography (CT) is particularly effective in identifying bladder involvement, providing detailed anatomical information needed for surgical planning.

Methods: We evaluated three cases of bladder inguinal hernia successfully diagnosed preoperatively using CT and treated with transabdominal preperitoneal repair (TAPP). These cases highlight the diagnostic value of CT and the safety and efficacy of TAPP.

Results: Three patients, aged 65, 80, and 81, presented with groin pain or urinary symptoms. CT confirmed bladder prolapse in all cases. TAPP was performed without major complications. Operative times ranged from 97 to 106 minutes, with minimal blood loss. All patients were discharged within 3 days, and no recurrences were observed during 1-4 years of follow-up.

Conclusions: CT is effective for diagnosing bladder involvement in inguinal hernias and should be considered for all suspected cases. TAPP offers a safe and effective way to manage this condition.