Scrotal cystocele is a type of urinary bladder hernia, where the bladder herniates into the scrotum. Chronic bladder distension (e.g. prostatism) may be a predisposing factor in such a case as there is associated prostatic enlargement. It is important to differentiate this condition in males older than 50 years from inguinal hernia of bowel to avoid bladder injury during herniorrhaphy.

Herniation of bladder is seen in 1-3% of inguinal hernias. Delayed CT urography or retrograde CT cystography is the best modality for confirmation and prone position can enhance its visualization. Ultrasonography may identify the communication of the scrotal sac with the urinary bladder which gives a beaked appearance.