Pine cone bladder

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Long standing poor urinary stream.

Patient Data

Age: 70 years
Gender: Male
Fluoroscopy

There is an elongated and pointed urinary bladder with irregular outlines and several outpouchings suggestive of diverticula, compatible with pine cone bladder.

Case Discussion

Pine cone bladder is a cystographic appearance usually seen in severe neurogenic bladder or long standing bladder neck obstruction due to non-neurogenic causes.

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