Bladder outlet obstruction

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Long standing prostate enlargement with poor urinary stream.

Patient Data

Age: 65 years
Gender: Male
Fluoroscopy

Urinary bladder is small and shows marked marginal irregularity and trabeculation with multiple contrast media out pouching inferring diverticula. No passive vesicoureteral reflux is noted.

Case Discussion

Regarding to history of long standing prostate enlargement features are compatible with bladder outlet obstruction. Neurogenic bladder could be considered in differential list for this radiologic appearance. 

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