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)
From the case:
Posterior urethral stricture (post radiation and TURP)
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Scout radiograph
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
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