Vesicocutaneous fistula after sliding hernia repair
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Sliding inguinal hernias are usually direct inguinal hernias containing various abdominal viscera. The incidence of bladder forming a part of an inguinal hernia, called as “scrotal cystocele,” is 1–4%. The risk of bladder injury is as high as 12% when repairing this type of hernia. This case report emphasizes this aspect in a 65-year-old man who presented with urinary leak through the scrotal wound following right inguinal hernia repair. The whole bladder was lying in the scrotum and extensive adhesions were present between the cord structures and the bladder. High inguinal orchiectomy was performed to create space for the bladder and for proper closure of the inguinal canal. Non-obstructive voiding has to be ensured after removing the catheter...

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