Pine cone bladder

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain


Long-standing poor urinary stream. Prostate enlargement reported on ultrasound evaluation.

Patient Data

Age: 80 years
Gender: Male

The urinary bladder is pine cone shaped and shows marginal irregularity with a few small out-pouching suggesting diverticula.

No pathologic filling defect and obvious sign of the mass within.

No passive vesicoureteral reflux is identified.

Case Discussion

Regarding the patient’s age and history, features are consistent with pine cone bladder due to chronic urinary bladder outlet obstruction.

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