Here, we present a case of a 60-year-old male patient with inguinoscrotal bladder hernia and a bladder tumor who underwent cystoscopy and had no transurethral access. On the images, a massive inguinoscrotal hernia and a mass of 2.8 cm in diameter in the bladder were seen. First of all, hernia was repaired. Transurethral resection of the tumor was then performed. The tumor was in the posterior wall. High-grade T2 urothelial carcinoma was detected. The patient was offered radical surgery but he refused the operation. Multimodal therapy was recommended for the patient.