Inguinal hernia containing Prostate, a case report and review of literature 

Inguinal hernia containing Prostate, a case report and review of literature | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Case Report Inguinal hernia containing Prostate, a case report and review of literature Ramy Elbaz, Abdelhamid Shahin This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7038664/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 10 You are reading this latest preprint version Abstract Bladder herniation through the inguinal canal is a rare clinical entity. Moreover, prostate herniation has not been reported in literature before as it is a fixed extraperitoneal organ. We describe a unique case of an 85-year-old man presenting with acute urinary retention and bilateral hydronephrosis secondary to herniation of the urinary bladder and prostate into the right inguinal canal. The patient was deemed unfit for surgical repair due to significant comorbidities and was successfully managed with long-term urethral catheterisation. This case underscores the importance of maintaining a broad differential in elderly patients with atypical obstructive uropathy and highlights the role of imaging in diagnosis. Inguinal hernia Prostate Bladder Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Background Inguinal bladder hernias are observed in approximately 1–4% of inguinal hernias, predominantly in elderly males (1). They are often asymptomatic and found incidentally during imaging or surgery. Herniation of the prostate is exceedingly rare, and to our knowledge, this is among the very few reported cases with radiological evidence of prostatic tissue. When significant, these hernias can cause mechanical obstruction of the ureters, leading to hydronephrosis and renal impairment, which requires prompt diagnosis and intervention. Case Presentation An 85-year-old male (Figure: 1) with a background of long-standing hypertension and type 2 diabetes mellitus presented to the emergency department with a 3-day history of lower abdominal distension, inability to pass urine, and general fatigue. There was no fever, hematuria, or flank pain. On examination, the patient was haemodynamically stable. Abdominal examination revealed a distended bladder on palpation and a right-sided, soft, reducible inguinal swelling. There was no tenderness, signs of bowel obstruction or skin changes. Investigations Laboratory studies showed : - Elevated serum creatinine: 2.1 mg/dL (baseline ~ 1.1) - Elevated BUN - Mild hyperkalaemia Bladder scan showed over 900 mL of retained urine. Non-contrast CT abdomen and pelvis was performed, showing: - Bilateral hydronephrosis (Figure :2) - Rectum only in the true pelvis (green outline) (Figure :3) with herniation of the urinary bladder (yellow outline) and prostate (red outline) into the right inguinal canal with associated bowel loops (blue outline) (Figure :4–6) - No evidence of ureteric calculi or external compression by lymphadenopathy or mass lesions Treatment A 16 Fr Foley catheter was inserted, draining over 2 liters of clear urine. The patient experienced symptomatic relief, and subsequent serum creatinine improved gradually over 3 days. Due to multiple comorbidities (ASA IV), high frailty score, and anaesthetic risk, surgical repair of the hernia was deemed inappropriate. A shared decision was made with the patient and family to proceed with conservative management, involving long-term catheter care and follow-up. Outcome and Follow-up The patient remained stable and was discharged home with a urethral catheter and community nursing support. A follow-up ultrasound after 4 weeks showed resolution of hydronephrosis. Renal function remained stable, and no further urinary complications were noted. He continued with routine urology and general surgery follow-up. Discussion Prostate herniation is an extremely rare and underdiagnosed condition, often presented with non-specific urinary symptoms. The prostate is a fixed retroperitoneal organ. However, factors like old age with a very weak mesenchyme and musculature may contribute to such rare conditions. Of course, additional factors like bladder outlet obstruction and long-term history of straining play an important role(2, 3). In this case, the CT revealed both bladder and prostate- herniated through the inguinal canal—a combination not previously documented. The herniated bladder and prostate may cause ureteric kinking, leading to bilateral hydronephrosis and acute kidney injury if left untreated. Conservative management, while not curative, can provide symptom relief in high-risk surgical candidates. Clinical Pearls: - Imaging, particularly CT, is essential in diagnosing atypical causes of urinary retention(4). - A high index of suspicion is needed in elderly patients with unexplained obstructive uropathy and groin swelling. - Long-term catheterisation remains a feasible palliative approach when surgery is not an option. Conclusion & Learning Points - Always consider bladder herniation in elderly patients with urinary retention and inguinal masses. - CT imaging is the gold standard for identifying bladder and associated herniation. - Conservative management with catheterisation is a valid option for patients who are poor surgical candidates. - Herniated bladder can lead to bilateral hydronephrosis and acute kidney injury if not identified early (5–8). Abbreviations CT Computerized Tomography ASA The American Society of Anesthesiologists Declarations Ethics approval and consent to participate The study was performed according to the declaration of Helsinki regulation. A written informed consent was obtained from the patient for participation in this case report. and for publication of this case report and accompanying images. Consent for publication A written informed consent was obtained from the patient for publication of this case report and accompanying images. Availability of data and materials All data generated or analyzed during this study are included in this published article Competing Interests Authors have no conflicts of interest to disclose. Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Authors' contributions The first author (Ramy Elbaz) was responsible for documentation of the data, organization of the management plan, writing the article and selection of the photos The second author (Abdelhamid Shahin) was responsible for seeing the case for the first time, proper examination, recording the patient data, making the decided plan for management and taking photos for the patient Acknowledgements The authors would like to express their sincere gratitude to The Urology Department, Urology and Nephrology Center, Mansoura University for facilitating clinical data collection. Also, they would like to thank the patient for his agreeing to participate in the study Clinical trial number : not applicable Guarantor Both authors have read and approved manuscript and accept full respondibility for the work. References Khan A, Beckley I, Dobbins B, Rogawski KM. Laparoscopic repair of massive inguinal hernia containing the urinary bladder. Urology annals. 2014;6(2):159-62. Taskovska M, Janež J. Inguinal hernia containing urinary bladder—a case report. International journal of surgery case reports. 2017;40:36-8. Moufid K, Touiti D, Mohamed L. Inguinal bladder hernia: four case analyses. Reviews in urology. 2013;15(1):32. Kraft KH, Sweeney S, Fink AS, Ritenour CW, Issa MM. Inguinoscrotal bladder hernias: report of a series and review of the literature. Canadian Urological Association Journal. 2008;2(6):619. Habib A. A rare case of inguinal hernia with complete bladder herniation. Case reports in surgery. 2017;2017(1):4658169. Çalışkan S, Türkmen M, Sungur M. Inguinal bladder hernia in female patient. Iranian journal of medical sciences. 2018;43(6):671. Wagner AA, Arcand P, Bamberger MH. Acute renal failure resulting from huge inguinal bladder hernia. Urology. 2004;64(1):156-7. Agha RA, Borrelli MR, Farwana R, Koshy K, Fowler AJ, Orgill DP, et al. The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines. International Journal of Surgery. 2018;60:132-6. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Editorial decision: Revision requested 04 Aug, 2025 Reviews received at journal 02 Aug, 2025 Reviews received at journal 29 Jul, 2025 Reviewers agreed at journal 26 Jul, 2025 Reviewers agreed at journal 24 Jul, 2025 Reviewers invited by journal 24 Jul, 2025 Editor assigned by journal 24 Jul, 2025 Editor invited by journal 16 Jul, 2025 Submission checks completed at journal 15 Jul, 2025 First submitted to journal 15 Jul, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7038664","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Case Report","associatedPublications":[],"authors":[{"id":491433820,"identity":"a99ddb3f-3a88-4fcc-8510-c2af1ada2be9","order_by":0,"name":"Ramy 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2","display":"","copyAsset":false,"role":"figure","size":233701,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eSpiral CT showing bilateral moderate Hydrouretero-nephrosis\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Figure2SpiralCTshowingbilateralmoderateHydroureteronephrosis.png","url":"https://assets-eu.researchsquare.com/files/rs-7038664/v1/90c46a97388d476025ec8e3a.png"},{"id":87830184,"identity":"01209c70-87c2-4644-ba7b-ef7e689e0ab9","added_by":"auto","created_at":"2025-07-29 12:20:48","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":195314,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eCT pelvis showing rectum only in the true pelvis (green outline) with no bladder or prostate\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Fig3CTpelvisshowingrectumonlyinthetruepelvisgreenoutline.png","url":"https://assets-eu.researchsquare.com/files/rs-7038664/v1/e1905b55c9d3b1f2e2f363b0.png"},{"id":87831132,"identity":"e8f1685d-c4d7-4268-b507-80119c771dc1","added_by":"auto","created_at":"2025-07-29 12:28:48","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":298680,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eCT pelvis showing bladder (yellow outline) herniation in the right groin\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Fig4CTpelvisshowingbladderherniationyellowoutlineinrightgroin.png","url":"https://assets-eu.researchsquare.com/files/rs-7038664/v1/9ca11ccce022f77acf6d89c6.png"},{"id":87831136,"identity":"b4a59577-a914-4bdc-9305-a24ac9d9c1d5","added_by":"auto","created_at":"2025-07-29 12:28:48","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":214138,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eCT pelvis showing prostate (red outline) herniation in the right groin\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Fig5CTpelvisshowingprostateherniationredoutlineinrightgroin.png","url":"https://assets-eu.researchsquare.com/files/rs-7038664/v1/4f9dcea09aef9445197a227d.png"},{"id":87830186,"identity":"2ead767f-aa1b-4310-a283-8e32fc7d2aa4","added_by":"auto","created_at":"2025-07-29 12:20:48","extension":"png","order_by":6,"title":"Figure 6","display":"","copyAsset":false,"role":"figure","size":252537,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eCT pelvis showing bowel (blue outline) herniation in the right groin\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Fig6CTpelvisshowingbowelherniationblueoutlineinrightgroin.png","url":"https://assets-eu.researchsquare.com/files/rs-7038664/v1/3f5981343bb2dcb03247b91a.png"},{"id":87832878,"identity":"f627087e-f12d-4ca3-ab43-7d91b3053d16","added_by":"auto","created_at":"2025-07-29 12:44:48","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":2301819,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7038664/v1/8ac393b0-c65f-4ceb-9b56-2058cd70e80a.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Inguinal hernia containing Prostate, a case report and review of literature ","fulltext":[{"header":"Background","content":"\u003cp\u003eInguinal bladder hernias are observed in approximately 1\u0026ndash;4% of inguinal hernias, predominantly in elderly males (1). They are often asymptomatic and found incidentally during imaging or surgery. Herniation of the prostate is exceedingly rare, and to our knowledge, this is among the very few reported cases with radiological evidence of prostatic tissue. When significant, these hernias can cause mechanical obstruction of the ureters, leading to hydronephrosis and renal impairment, which requires prompt diagnosis and intervention.\u003c/p\u003e"},{"header":"Case Presentation","content":"\u003cp\u003eAn 85-year-old male \u003cstrong\u003e(Figure: 1)\u003c/strong\u003e with a background of long-standing hypertension and type 2 diabetes mellitus presented to the emergency department with a 3-day history of lower abdominal distension, inability to pass urine, and general fatigue. There was no fever, hematuria, or flank pain. On examination, the patient was haemodynamically stable. Abdominal examination revealed a distended bladder on palpation and a right-sided, soft, reducible inguinal swelling. There was no tenderness, signs of bowel obstruction or skin changes.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eInvestigations\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eLaboratory studies showed\u003c/strong\u003e:\u003c/p\u003e\n\u003cp\u003e- Elevated serum creatinine: 2.1 mg/dL (baseline\u0026thinsp;~\u0026thinsp;1.1)\u003c/p\u003e\n\u003cp\u003e- Elevated BUN\u003c/p\u003e\n\u003cp\u003e- Mild hyperkalaemia\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eBladder scan\u003c/strong\u003e showed over 900 mL of retained urine.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eNon-contrast CT abdomen and pelvis\u003c/strong\u003e was performed, showing:\u003c/p\u003e\n\u003cp\u003e- Bilateral hydronephrosis \u003cstrong\u003e(Figure :2)\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e- Rectum only in the true pelvis (green outline) \u003cstrong\u003e(Figure :3)\u003c/strong\u003e with herniation of the urinary bladder (yellow outline) and prostate (red outline) into the right inguinal canal with associated bowel loops (blue outline) \u003cstrong\u003e(Figure :4\u0026ndash;6)\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e- No evidence of ureteric calculi or external compression by lymphadenopathy or mass lesions\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTreatment\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA 16 Fr Foley catheter was inserted, draining over 2 liters of clear urine. The patient experienced symptomatic relief, and subsequent serum creatinine improved gradually over 3 days. Due to multiple comorbidities (ASA IV), high frailty score, and anaesthetic risk, surgical repair of the hernia was deemed inappropriate. A shared decision was made with the patient and family to proceed with conservative management, involving long-term catheter care and follow-up.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eOutcome and Follow-up\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe patient remained stable and was discharged home with a urethral catheter and community nursing support. A follow-up ultrasound after 4 weeks showed resolution of hydronephrosis. Renal function remained stable, and no further urinary complications were noted. He continued with routine urology and general surgery follow-up.\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eProstate herniation is an extremely rare and underdiagnosed condition, often presented with non-specific urinary symptoms. The prostate is a fixed retroperitoneal organ. However, factors like old age with a very weak mesenchyme and musculature may contribute to such rare conditions. Of course, additional factors like bladder outlet obstruction and long-term history of straining play an important role(2, 3). In this case, the CT revealed both bladder and prostate- herniated through the inguinal canal\u0026mdash;a combination not previously documented. The herniated bladder and prostate may cause ureteric kinking, leading to bilateral hydronephrosis and acute kidney injury if left untreated. Conservative management, while not curative, can provide symptom relief in high-risk surgical candidates.\u003c/p\u003e\u003cp\u003eClinical Pearls:\u003c/p\u003e\u003cp\u003e- Imaging, particularly CT, is essential in diagnosing atypical causes of urinary retention(4).\u003c/p\u003e\u003cp\u003e- A high index of suspicion is needed in elderly patients with unexplained obstructive uropathy and groin swelling.\u003c/p\u003e\u003cp\u003e- Long-term catheterisation remains a feasible palliative approach when surgery is not an option.\u003c/p\u003e"},{"header":"Conclusion \u0026 Learning Points","content":"\u003cp\u003e- Always consider bladder herniation in elderly patients with urinary retention and inguinal masses.\u003c/p\u003e\u003cp\u003e- CT imaging is the gold standard for identifying bladder and associated herniation.\u003c/p\u003e\u003cp\u003e- Conservative management with catheterisation is a valid option for patients who are poor surgical candidates.\u003c/p\u003e\u003cp\u003e- Herniated bladder can lead to bilateral hydronephrosis and acute kidney injury if not identified early (5\u0026ndash;8).\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cdiv class=\"DefinitionList\"\u003e\u003cdiv class=\"DefinitionListEntry\"\u003e\u003cdiv class=\"Term\"\u003eCT\u003c/div\u003e\u003cdiv class=\"Description\"\u003e\u003cp\u003eComputerized Tomography\u003c/p\u003e\u003c/div\u003e\u003c/div\u003e\u003cdiv class=\"DefinitionListEntry\"\u003e\u003cdiv class=\"Term\"\u003eASA\u003c/div\u003e\u003cdiv class=\"Description\"\u003e\u003cp\u003eThe American Society of Anesthesiologists\u003c/p\u003e\u003c/div\u003e\u003c/div\u003e\u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003e\u003cem\u003eEthics approval and consent to participate\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was performed according to the declaration of Helsinki regulation. A written \u0026nbsp;informed consent was obtained from the patient for participation in \u0026nbsp;this case report. and for publication of this case report and accompanying images.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eConsent for publication\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA written \u0026nbsp;informed consent was obtained from the patient for publication of this case report and accompanying images.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAvailability of data and materials\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll data generated or analyzed during this study are included in this published article\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eCompeting Interests\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAuthors have no conflicts of interest to disclose.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eFunding\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAuthors\u0026apos; contributions\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe first author (Ramy Elbaz) was responsible for documentation of the data, organization of the management plan, writing the article and selection of the photos\u003c/p\u003e\n\u003cp\u003eThe second author (Abdelhamid Shahin) was responsible for seeing the case for the first time, proper examination, recording the patient data, making the decided plan for management and taking photos for the patient\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAcknowledgements\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors would like to express their sincere gratitude to The Urology Department, Urology and Nephrology Center, Mansoura University for facilitating clinical data collection.\u003c/p\u003e\n\u003cp\u003eAlso, they would like to thank the patient for his agreeing to participate in the study\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eClinical trial number\u003c/strong\u003e: not applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eGuarantor\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eBoth authors have read and approved manuscript and accept full respondibility for the work.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eKhan A, Beckley I, Dobbins B, Rogawski KM. Laparoscopic repair of massive inguinal hernia containing the urinary bladder. Urology annals. 2014;6(2):159-62.\u003c/li\u003e\n\u003cli\u003eTaskovska M, Janež J. Inguinal hernia containing urinary bladder\u0026mdash;a case report. International journal of surgery case reports. 2017;40:36-8.\u003c/li\u003e\n\u003cli\u003eMoufid K, Touiti D, Mohamed L. Inguinal bladder hernia: four case analyses. Reviews in urology. 2013;15(1):32.\u003c/li\u003e\n\u003cli\u003eKraft KH, Sweeney S, Fink AS, Ritenour CW, Issa MM. Inguinoscrotal bladder hernias: report of a series and review of the literature. Canadian Urological Association Journal. 2008;2(6):619.\u003c/li\u003e\n\u003cli\u003eHabib A. A rare case of inguinal hernia with complete bladder herniation. Case reports in surgery. 2017;2017(1):4658169.\u003c/li\u003e\n\u003cli\u003e\u0026Ccedil;alışkan S, T\u0026uuml;rkmen M, Sungur M. Inguinal bladder hernia in female patient. Iranian journal of medical sciences. 2018;43(6):671.\u003c/li\u003e\n\u003cli\u003eWagner AA, Arcand P, Bamberger MH. Acute renal failure resulting from huge inguinal bladder hernia. Urology. 2004;64(1):156-7.\u003c/li\u003e\n\u003cli\u003eAgha RA, Borrelli MR, Farwana R, Koshy K, Fowler AJ, Orgill DP, et al. The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines. International Journal of Surgery. 2018;60:132-6.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-urology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"buro","sideBox":"Learn more about [BMC Urology](http://bmcurol.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/buro/default.aspx","title":"BMC Urology","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Inguinal hernia, Prostate, Bladder","lastPublishedDoi":"10.21203/rs.3.rs-7038664/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7038664/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eBladder herniation through the inguinal canal is a rare clinical entity. Moreover, prostate herniation has not been reported in literature before as it is a fixed extraperitoneal organ. We describe a unique case of an 85-year-old man presenting with acute urinary retention and bilateral hydronephrosis secondary to herniation of the urinary bladder and prostate into the right inguinal canal. The patient was deemed unfit for surgical repair due to significant comorbidities and was successfully managed with long-term urethral catheterisation. This case underscores the importance of maintaining a broad differential in elderly patients with atypical obstructive uropathy and highlights the role of imaging in diagnosis.\u003c/p\u003e","manuscriptTitle":"Inguinal hernia containing Prostate, a case report and review of literature ","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-07-29 12:20:43","doi":"10.21203/rs.3.rs-7038664/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-08-04T04:49:07+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-08-02T23:18:30+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-07-29T10:38:23+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"231664033989311793871894699287929059522","date":"2025-07-26T14:24:25+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"232564011820063441473584672157190508801","date":"2025-07-24T21:56:58+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-07-24T21:02:13+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-07-24T20:50:26+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-07-16T09:09:49+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-07-15T22:28:16+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Urology","date":"2025-07-15T22:25:50+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-urology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"buro","sideBox":"Learn more about [BMC Urology](http://bmcurol.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/buro/default.aspx","title":"BMC Urology","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"76b28136-80b2-4b21-924a-0ec3041d3591","owner":[],"postedDate":"July 29th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2025-08-25T06:38:11+00:00","versionOfRecord":[],"versionCreatedAt":"2025-07-29 12:20:43","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-7038664","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7038664","identity":"rs-7038664","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}