Inguinal bladder hernia (IBH) was first described by Levine in 1951. The content of the hernia is the bladder or part of the hernia sac consists of the bladder. Bladder hernias are acquired straight inguinal hernias that usually occur in the elderly, and are formed by pathophysiologic factors including chronic urinary retention, obesity, bladder stones, and atrophy of the pelvic muscles. Inguinal bladder hernias account for approximately 1-4% of all inguinal hernias and may be as high as 10% in people aged 50 years. Most patients with bladder hernias are asymptomatic and are usually detected on imaging (e.g., herniorrhaphy with an intermittently protruding inguinal mass). Symptoms of cystitis or prostatic hyperplasia are present in the majority of patients.Preoperative diagnosis of IBH is difficult, with less than 7% of patients diagnosed preoperatively and approximately 16% diagnosed postoperatively. Cystography has a high diagnostic value for this disease.CT scans may also inform the surgical approach offered for this disease. The patient’s symptoms will depend primarily on the size and contents of the hernia, with the main symptoms associated with urination. After hernia repair, the patient’s urinary symptoms will improve. The condition may be repaired using a patch to minimize the risk of recurrence. The defect may also be closed without the use of a patch. The exact procedure depends on the surgeon’s choice and the patient’s local conditions (e.g., bleeding, degree of contamination of the surgical field by urine).