Massive inguinoscrotal bladder hernia causing hydronephrosis: Two cases

Highlights • Complete bladder herniation are very rare compared to incomplete bladder herniation. • Massive scrotal cystocele is usually defined with voiding symptoms. • CT, ultrasonography and retrograde cystogram should be performed to determine the involvement of the bladder in cases of massive inguinoscrotal hernias. • In massive scrotal hernia cases, bladder can protrude with the ureter causing hydronephrosis on the affected side. • It is necessary to place urinary catheter to empty the urinary bladder to manage the pain and to decrease the risk of injury of bladder during the surgery.