İnguinal Mesane Hernisi ve İnfravesikal Obstrüksiyon: Nadir Ancak Önemli Bir İlişki Üzerine Bir Olgu Sunumu

Abstract

Mesane hernisi, tüm inguinal hernilerin yalnızca %1-4’ünü oluşturan nadir bir klinik tablodur ve en sık ileri yaş erkek hastalarda görülür. Birçok olgu asemptomatik seyretse de benign prostat hiperplazisi (BPH) gibi eşlik eden infravezikal obstrüksiyon varlığının semptomları ağırlaştırabildiği ve tedavi sürecini karmaşıklaştırabildiği gösterilmiştir. Bu olgu sunumu, bilateral inguinal yama herni onarımı öyküsü bulunan ve belirgin BPH saptanan 70 yaşında bir erkek hastada gelişen ekstraperitoneal mesane hernisinin kapsamlı tedavisini sunmayı amaçlamaktadır. Hasta, tek insizyonla gerçekleştirilen yama herni onarımı ve açık transvezikal prostatektomi kombinasyonu ile tedavi edildi. Bu olgu sunumu, mesane hernisi ve BPH için kombine cerrahi yaklaşımlar hakkındaki sınırlı literatüre değerli bilgiler sunmakta ve ayrıca kompleks ürolojik olguların başarılı yönetiminde titiz preoperatif değerlendirme ve multidisipliner cerrahi planlamanın önemini vurgulamaktadır.

Keywords

• Mesane hernisi
• benign prostat hiperplazisi
• skrotal kistosele
• inguinal herni
• tek insizyonlu cerrahi

Inguinal Bladder Hernia and Infravesical Obstruction: A Case Report on a Rare But Important Relationship

Abstract

Bladder herniation is an uncommon clinical condition, comprising only 1-4% of all inguinal hernias, and is most frequently observed in elderly male patients. While many cases are asymptomatic, the presence of concomitant infravesical obstruction, such as benign prostatic hyperplasia (BPH), has been demonstrated to exacerbate symptoms and complicate management strategies. This case report aimed to present the comprehensive management of extraperitoneal bladder herniation in a 70-year-old male patient with a history of bilateral inguinal mesh hernia repair and significant BPH. The patient was treated via a single-incision surgical approach combining mesh hernia repair and open transvesical prostatectomy. This case report contributes valuable insights to the limited literature on combined surgical approaches for bladder herniation and BPH, and also underscores the significance of meticulous preoperative evaluation and multidisciplinary surgical planning in the successful treatment of complex urological cases.

Keywords

• Bladder hernia
• benign prostatic hyperplasia
• scrotal cystocele
• inguinal hernia
• single-incision surgery

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