PMC10091887_01
Preoperative urethrocystography.
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The diagnosis of inguinoscrotal hernia containing almost the entire urinary bladder was confirmed in computed tomography (CT) and urethrocystography (Figure 1).
Peritoneal flap preparation.
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A 30 up endoscope application facilitates high and adequately wide opening of peritoneum to achieve long enough peritoneal flap (Figure 2).
Interposition of the hernia sac.
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After this, the hernia sac was repositioned into the abdominal cavity proximally (Figure 3).
Mesh positioning.
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Hiatus was covered with use of 10x15 cm self-fixating mesh (ProGrip Covidien) (Figure 4).
Peritonisation of the mesh.
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Peritoneal closure with a barbed suture finalised the procedure (Figure 5).
Postoperative urethrocystography.
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Postoperative cystography showed an hourglass/dumbbell shape of the bladder with no leak of contrasted urine (Figure 6).