The bladder is an extraperitoneal organ. The retropubic space, also known as the anterior space of the bladder, is adjacent to the pubic symphysis. The space is filled with loose connective tissue and pudendal venous plexus.Behind the bladder, the male is adjacent to the rectum, and the female is adjacent to the uterus and the front wall of the vagina.There are seminal vesicles, ampulla of vas deferens and other tissues in men.The upper part of the bladder is covered with peritoneum and adjacent to the intestinal loop. If the intestinal loop and peritoneum protrude into the retropubic space and the retrovesical space, it is called superior internal hernia;The internal hernia in the posterior space of the pubis is also called the health search of the anterior bladder upper internal hernia, and the internal hernia in the posterior space of the bladder is also called the posterior bladder upper internal hernia.
The etiology of the disease is unknown. The existence of the retropubic space and the retrovesical space is the anatomical basis of the disease.
clinical manifestation
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1. Symptoms of intestinal obstruction: because the hernia sac is small, the hernia tube is often a single intestinal loop, and there are no obvious symptoms in clinical practice.When the hernia enters the intestinal loop and incarceration occurs, there will be lower abdominal pain, abdominal distention, vomiting and other intestinal obstruction symptoms.
2. Bladder irritation symptoms: When the intestinal loops become incarcerated, the intestinal loops expand and compress the bottom of the bladder, which can cause bladder irritation symptoms such as frequent urination, urgency of urination, etc.
treatment
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This disease is mainly treated by surgery.Generally, a median incision or a paramedian incision is made in the lower abdomen. During the operation, a catheter is placed to empty the bladder, the hernia tube is reset, the hernia sac is opened, and the neck of the hernia sac is sutured with non absorbable suture to close the concave defect of the bladder, so as to prevent recurrence after the operation.
