Bladder diverticula may be involved in inguinal hernias usually in the
form of a sliding hernia. We studied three patients with scrotal hern
iation of bladder diverticulum, one of them having a neurogenic bladde
r. All our patients have had the diagnosis before undergoing hernia re
pair - so iatrogenic lesions of the bladder during surgical manipulati
ons could be avoided. Methods for an early diagnosis of this rare occu
rence are discussed along with aspects of surgical approach.