Massive inguinoscrotal bladder hernia causing hydronephrosis: Two cases

• Complete bladder herniation are very rare compared to incomplete bladder herniation.
• Massive scrotal cystocele is usually defined with voiding symptoms.
• CT, ultrasonography and retrograde cystogram should be performed to determine the involvement of the bladder in cases of massive inguinoscrotal hernias.
• In massive scrotal hernia cases, bladder can protrude with the ureter causing hydronephrosis on the affected side.
• It is necessary to place urinary catheter to empty the urinary bladder to manage the pain and to decrease the risk of injury of bladder during the surgery.