Bladder upper hernia

　　The cause of the disease is unknown. The presence of the retropubic space and the post-vesical space is the anatomical basis of this disease. Most bladder upper hernias are due to long-standing weak areas within the human body, which become thinner with age, due to trauma or surgical incisions. Lifting heavy objects or performing heavy physical labor can exacerbate the severity of the hernia. There are many factors that contribute to the disease, including actions or activities that increase extra pressure on the abdominal wall, such as chronic cough or asthma, such as the cough of smokers; obesity; abdominal strain during urination or defecation; pregnancy; and abdominal strain when lifting heavy objects.

　　The patient's digestive system is first affected, leading to symptoms such as a heavy feeling in the lower abdomen, hernia hazard, bloating, abdominal pain, constipation, poor nutrient absorption, easy fatigue, and declining physical fitness. Due to the proximity of the inguinal region to the urinary and reproductive systems, elderly patients are prone to frequent urination, urgency, and increased night urination, which may be indicative of bladder or prostate diseases; children may experience normal testicular development due to hernia compression; and middle-aged and young patients may suffer from sexual dysfunction. Moreover, the intestinal tract or omentum in the hernia sac is prone to compression or collision, causing inflammatory swelling, making it difficult to reduce the hernia, leading to hernia incarceration, and dangerous conditions such as intestinal obstruction, intestinal necrosis, and severe abdominal pain.

　　1. Intestinal obstruction symptoms Because the hernia sac is small, the herniated intestinal tract is often a single intestinal loop, and clinical symptoms are often not obvious. When the incarcerated intestinal loop is incarcerated, symptoms such as lower abdominal pain, abdominal distension, and vomiting occur.

　　2. Bladder irritation symptoms When the intestinal loop is incarcerated, the expansion of the intestinal loop compresses the bottom of the bladder, which can cause symptoms such as frequent urination and urgency.

　　The cause of the disease is unknown, and the existence of the posterior pubic space and the posterior bladder space is the anatomical basis of the disease. Therefore, there is no direct preventive method for the disease, and it is recommended to have regular physical examinations to achieve early detection. If it is confirmed, active surgical treatment should be carried out. At the same time, attention should be paid to developing good living habits, drinking more water, eating more fruits and vegetables, not holding urine, which can reduce the incidence of the disease to a certain extent.

　　1. X-ray examination fluoroscopy or abdominal flat film can show a fixed aerated intestinal loop attached to the posterior pubic bone.

　　2. Due to the compression of the herniated intestinal loop, the bladder wall can be seen to bulge into the cavity during cystoscopy and bladder造影.

　　1. Foods that are good for the body for upper bladder hernia:

　　Diet should be light. For the first few days after surgery, adjust diet according to individual condition, mainly with liquid and semi-liquid foods, and eat more high-protein foods to promote wound healing. Supplement a variety of vitamins, eat more fresh vegetables and fruits. You can eat various lean meats, milk, eggs, and other foods rich in protein.

　　2. Foods to avoid for upper bladder hernia:

　　Avoid too much greasy food, do not choose foods such as fermented bean curd, scallions, chili peppers, chives, etc., as they are not conducive to wound healing because they are prone to infection.

　　1. Treatment

　　This disease belongs to surgical diseases, and treatment is mainly surgical treatment. Generally, a median or para-medial incision is made in the lower abdomen, a catheter is placed during the operation to empty the bladder, the herniated intestinal tract is复位, the hernia sac is incised, and the neck of the hernia sac is sutured with non-absorbable sutures, the defect on the upper凹of the bladder is sealed, and postoperative recurrence is prevented.

　　2. Prognosis

　　This disease belongs to benign lesions, and the prognosis is good after surgical treatment.