Posterior urethral stricture (post radiation and TURP)

Case contributed by Matt A. Morgan
Diagnosis certain

Presentation

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

Patient Data

Age: 75-80Y
Gender: Male

RUG & VCUG

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

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