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+A 65-year-old man consulted for an infravesical obstructive syndrome together with a soft tumour in the right hemiscrotal, which decreased in size during urination.
+Physical examination revealed the presence of an enlarged right scrotal pouch and a reducible inguinal hernia. Rectal examination revealed a medium-sized, bilobed, adenomatous prostate.
+The complementary examinations included a total PSA, which was normal, a vesico-prostatic ultrasound that revealed a 57-gram prostate and a testicular ultrasound with an image suggestive of vesical herniation.
+
+Finally, retrograde cystography showed the presence of a massive bladder hernia in the right hemiscrotal.
+
+Treatment was surgical and consisted of resection of the herniated portion of the bladder which was peritoneal and correction of the inguinal hernia with marlex mesh. In a second stage a TUR of the prostate was performed.
+Controlled after six months the patient remains asymptomatic.
+