Conclusion
Herniation of bladder is a rare clinical condition, consisting of potentially prominent complication, hiding in a very common surgical indication-inguinal herniation. Detailed history and examination for exact diagnosis are extremely important. While most of the previous reports suggested open approach as the way of surgical repair, we confirmed that these situations might be managed safely by laparoscopic total extraperitoneal approach. Laparoscopic approach offers similar surgical outcome as well as better visibility and improved cosmesis.
Figure 1. Bladder and bilateral ureter herniation associated with bilateral hydronephrosis
Figure 2. Intra-operative image, showing bladder herniation and surrounding structures
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