Unusual videourodynamic finding: Massive scrotal cystocele

Urinary bladder involvement within inguinal hernias occurs in up to 4% of patients. However, massive extension of the bladder into the scrotum, or scrotal cystocele, is very rare, with less than 30 reported cases. The presenting symptoms vary. Most patients will have some element of voiding dysfunction. However, some patients will present with renal failure, sepsis, or bladder necrosis, although others will remain asymptomatic. 1 , 2 , 3 , 4 We report a patient who presented with irritative voiding symptoms and a large, right-sided hydrocele. On evaluation of his voiding symptoms, he was found to have a large scrotal cystocele.