“Scrotal Pouch”—Scrotal Herniation of Bladder Secondary to Extensive Bone Resection Due to Chondrosarcoma: A Simple and Effective Surgical Treatment of Urinary Obstruction

A patient developed a scrotal hernia of the bladder 6 years after resection of the pubic ramus for treatment of a chondrosarcoma. Because reconstruction of the pelvis was impossible, an alternative surgical solution was needed. A continent vesicocutaneous stoma with a full-thickness bladder tube was...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2009-07, Vol.74 (1), p.206-208
Main Authors: von Rundstedt, F.-C, Waldner, M, Mathers, M.J, Brandt, A.S, Lazica, D, Roth, S
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bone Neoplasms - surgery
Chondrosarcoma - surgery
Diseases of the osteoarticular system
Genital Diseases, Male - etiology
Genital Diseases, Male - surgery
Hernia - etiology
Herniorrhaphy
Humans
Male
Medical sciences
Nephrology. Urinary tract diseases
Postoperative Complications - surgery
Pubic Bone
Scrotum
Tumors of striated muscle and skeleton
Urinary Bladder Diseases - etiology
Urinary Bladder Diseases - surgery
Urinary Bladder Neck Obstruction - etiology
Urinary Bladder Neck Obstruction - surgery
Urologic Surgical Procedures, Male - methods
Urology
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Summary:A patient developed a scrotal hernia of the bladder 6 years after resection of the pubic ramus for treatment of a chondrosarcoma. Because reconstruction of the pelvis was impossible, an alternative surgical solution was needed. A continent vesicocutaneous stoma with a full-thickness bladder tube was created. The hernia itself was not repaired, leaving the bladder and bowel loops in the scrotum. Nine years after surgery, the patient continued to perform clean intermittent catheterization. The patient had not experienced any strictures or infections. The demonstrated technique appears to be a feasible option when hernia repair is impossible.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2009.02.007