# A Case of One-Stage Surgical Treatment for a Bladder Hernia with Bladder Calculi

## TL;DR

This paper presents a successful one-stage surgical treatment for a rare condition involving a bladder hernia and bladder stones.

## Contribution

The novelty lies in the combined one-stage surgical approach for bladder hernia and bladder calculi.

## Key findings

- A bladder hernia with bladder calculi was successfully treated in one surgical procedure.
- The Lichtenstein method was used for hernia repair after removing the bladder stones.
- No recurrence was observed 3 years post-surgery.

## Abstract

A bladder hernia associated with bladder calculi is an extremely rare condition, with no consensus established regarding its management. Herein, we report a case in which 1-stage surgical treatment was performed for a bladder hernia complicated by bladder calculi.

The patient presented with a swelling in the right inguinal region. CT revealed a bladder hernia accompanied by multiple bladder calculi. An inguinal incision was made, the bladder stones were removed, and hernia repair was performed using the Lichtenstein method. At 3 years postoperatively, there was no recurrence of either bladder calculi or hernia.

For inguinal hernias accompanied by bladder calculi in which transurethral lithotripsy is challenging, open surgical fragmentation of bladder calculi and inguinal hernia repair by using the Lichtenstein method through the same surgical field may be useful approaches.