Bladder herniation is a rare condition usually diagnosed peroperatively. Patients may present with inguino-scrotal swelling, painful micturition, hematuria, or urgency. Obesity, poor musculature, and advancing age are risk factors. We hereby present a case of bladder herniation in a 47-year-old obese male presented to the outpatient department with a history of inguino-scrotal, partially reducible swelling, lower urinary tract symptoms, off and on haematuria, and painful micturation. Scrotal ultrasound showed clear fluid present in the scrotum which was communicating with the bladder. This was confirmed by cystography showing a "dog ear"sign. Hernioplasty was performed after the hernia containing the bladder was reduced.