TURP defect

Case contributed by Matt A. Morgan
Diagnosis certain

Presentation

History of transurethral resection of the prostate (TURP). Imaging for an unrelated issue.

Patient Data

Age: Adult
Gender: Male

RUG & VCUG

Fluoroscopy
This study is a stack
RUG
This study is a stack
RUG and
VCUG
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Info

Two retrograde urethrograms (RUG) on the same patient, the second with a voiding cystourethrogram (VCUG), show an irregular defect in the region of the prostatic urethra, compatible with the patient's history of transurethral resection of the prostate (TURP).

ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
3D reconstruction
of the bladder
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Info

CT of the abdomen and pelvis with delayed imaging shows a midline defect in the prostate compatible with a TURP defect. A 3D reconstruction shows the gap in the prostatic urethra to good effect.

mri
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial T2
fat sat
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Info

Midline defect in the prostate, compatible with a TURP defect.

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