Laparoscopic repair of inguinal cystocele using cystoscopic light test.

OBJECTIVE

To describe how the cystoscopic light test aids in the repair of inguinal bladder herniation.

METHODS

After the diagnosis of a bladder herniation into the right inguinal canal using intravenous pyelography, laparoscopic repair was planned. A cystoscope was manipulated into the defect while turning off the laparoscopic light intra-abdominally. The light of the cystoscope could be identified through the cystocele, and the neck of the hernia was easily recognized. Once the bladder was reduced, the cystoscope was replaced, and reduction of the herniation was confirmed.

RESULTS

We were able to successfully reduce the bladder herniation without recurrence at 24 months of follow-up.

CONCLUSION

The cystoscopic light test represents a useful tool in the recognition of an inguinal bladder herniation, before, during, and after the definitive repair of the defect.