Inguinal hernias with bladder herniation is rare with incidence of about 1–4%. Commonly part of bladder or diverticulum is herniated which is usually asymptomatic. Rarely  bladder may herniate into the scrotum defined as scrotal cystocele by Levine for the first time in 1951.High clinical suspicion and early diagnosis is necessary to avoid intraoperative bladder injuries and complications. In this case report an elderly obese male patient presented with right inguinoscrotal swelling and recurrent urinary tract infections since 3 months, CT revealed large right inguinoscrotal hernia with herniation of major portion of bladder and right ureter.