Download PDF
CC BY 4.0 · Surg J (N Y) 2021; 07(04): e319-e321
DOI: 10.1055/s-0041-1736671
Case Report

A Rare Case of Complex Hernia Causing Urethral Obstruction

Vivek Agrawal 
1   Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
,
Chinmay Bagla 
1   Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Abdominal wall hernias rarely cause obstruction of the urinary tract. We present the case of a patient undergoing regular smooth dilatations for urethral stricture since 8 years who developed right inguinoscrotal swelling and narrowing of urinary stream since 2 years of age. There was a growing difficulty in dilatation due to path distortion of urethra by the hernia. He had a history of open suprapubic cystostomy (SPC) 8 years ago. The patient refused surgery till he landed with an inability to pass dilators and difficulty in passing urine. He was taken up for right inguinal exploration with internal optic urethrotomy (IOU). Intraoperatively, he was found to have right inguinal hernia with incisional hernia at the site of SPC which was repaired and a cystoscopy revealed urethral deviation with anterior urethral stricture for which IOU was done. Postoperatively, the patient's urethral tract straightened and his urinary complaints resolved. A complex hernia can cause urethral deviation and obstruction due to pressure effects of its contents and should be repaired at an early stage.

Keywords

complex hernia - urethral obstruction - urethral deviation

Consent

Informed consent was obtained from the patient for participation and publication.




Publication History

Received: 02 February 2021

Accepted: 06 September 2021

Article published online:
15 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Suhani AS, Ali S, Desai G, Sharma K, Thomas S. Incisional hernia as a cause of blader outlet obstruction: a case report. J Clin Diagn Res 2016; 10 (09) PD26-PD27
    PubMedGoogle Scholar
  • 2 Grice PT, Nkwam N. Inguinal hernia causing extrinsic compression of bilateral ureters leading to chronic obstructive uropathy. J Surg Case Rep 2018; 2018 (04) rjy062
    CrossrefPubMedGoogle Scholar
  • 3 Ahmed S, Stanford R. Ureteric obstruction secondary to a paraperitoneal inguinal hernia. Ann R Coll Surg Engl 2016; 98 (02) e16-e18
    CrossrefPubMedGoogle Scholar
  • 4 Kotov SV, Belomyttsev SV, Guspanov RI, Semenov MK, Iritsyan MM, Ugurchiev AM. Iatrogenic urethral structures in men [in Russian]. Urologiia 2018; (04) 56-63
    CrossrefPubMedGoogle Scholar