Posterior urethral stricture (post radiation and TURP)

Case contributed by Dr Matt A. Morgan

Presentation

History of prostate cancer post radiation therapy. Urinary urgency, frequency, and incontinence.

Patient Data

Age: 75-80Y
Gender: Male

Retrograde urethrogram (RUG) and voiding cystourethrogram (VCUG)

Modality: Fluoroscopy

Scout radiograph:

  • multiple phleboliths in the pelvis

Retrograde urethrogram (RUG):

  • there is a narrowing in the urethra downstream from the expected location of the external sphincter
  • no filling defect or leak in the anterior urethra

Voiding cystourethrogram (VCUG):

  • large defect in the prostatic urethra, compatible with a TURP defect
  • there is a 12 mm fixed narrowing in the posterior urethra at the prostatic urethra and membranous urethra
  • a round radiopaque object is a radiopaque pill external to the patient that is used for measuring
PlayAdd to Share

Case Information

rID: 40684
Case created: 30th Oct 2015
Last edited: 30th Oct 2015
System: Urogenital
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.