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After urethral catheterisation, bilateral ureteric stent insertion and resolution of postobstructive diuresis, the patient underwent open right inguinal hernia repair and return of the bladder to its orthotopic position. He also diagnosed with schizotypal personality disorder with psychosis, malnutrition, iron deficiency anaemia, heart failure and chronic lower limb ulcers. Four months later and after multiple failed trial of voids, the patient underwent transurethral resection of prostate with successful resumption of spontaneous voiding.<\/jats:p>","DOI":"10.1136\/bcr-2023-256040","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T21:50:18Z","timestamp":1689112218000},"page":"e256040","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Massive inguinal herniation of the bladder with bilateral hydronephrosis, complicated by psychosis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7833-2537","authenticated-orcid":false,"given":"Ned","family":"Kinnear","sequence":"first","affiliation":[{"name":"Austin Hospital, Heidelberg, Victoria, Australia"},{"name":"St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7372-0100","authenticated-orcid":false,"given":"Derek Barrry","family":"Hennessey","sequence":"additional","affiliation":[{"name":"Mercy University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"key":"2025082723505854000_16.7.e256040.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39450.428275.AD"},{"key":"2025082723505854000_16.7.e256040.2","unstructured":"Sinnatamby CS . 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