CASE REPORT article
Front. Surg.
Sec. Genitourinary Surgery and Interventions
Laparoscopic repair of a recurrent, huge, inguinoscrotal vesicoureteral hernia: a case report and review of the literature
Provisionally accepted
- Minda Hospital of Hubei Minzu University, Enshi, China
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Inguinal hernia repair is a routine operation. However, it is rare for the organs of the urinary system to prolapse as the contents of the hernia. An 80-year-old obese male with a history of three prior open inguinal hernia repairs presented with a recurrent large scrotal mass and severe right hydronephrosis. Preoperative Computed Tomography urography (CTU) revealed a giant inguinal vesicoureteral hernia involving the bladder and ureter. The patient underwent transabdominal preperitoneal repair (TAPP) with intraoperative identification of herniated bladder-ureter components facilitated by bladder catheter saline infusion and ureteroscopic assistance. Postoperative CTU at 1 week demonstrated complete reduction of herniated viscera and resolution of hydronephrosis. No complications occurred, and 6-month follow-up confirmed sustained recovery without recurrence. This case provides valuable insight into preoperative diagnostic difficulties and the intra-and postoperative management of an inguinal vesicoureteral hernia in a multiple relapsed old man, highlighting the importance of accurate diagnosis and appropriate surgical intervention in the treatment of this disease.
Keywords: vesicoureteral hernia, Laparoscopic, CT urography, case report, Recurrent hernia
Received: 11 Jul 2025; Accepted: 27 Oct 2025.
Copyright: © 2025 Tian, Min, Yang, Tan and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Shunhua Tian, tsh635764@163.com
Hongliu Chen, 1634943858@qq.com
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