Urethral glands of Littré

Case contributed by Dr Ammar Ashraf

Presentation

Weak urinary stream. No dysuria, hematuria or fever.

Patient Data

Age: 30 years
Gender: Male

Ascending urethrography (ASU)

Fluoroscopy

Anterior urethra has smooth outlines. No abnormal narrowing or dilatation is seen in the anterior urethra. Incidental finding of multiple glands of Littre (normal variant) along the penile urethra. No contrast leakage or extravasation is noted.

Annotated image

Annotated image showing glands of Littre (multiple small linear outpouchings) along the penile urethra. 

Case Discussion

The glands of Littre, are mucus-secreting periurethral glands, more commonly found in the penile urethra. These glands can be opacified on ascending urethrogram as small linear outpouchings from the urethra and are considered a normal anatomical variant; however, appearance of multiple large glands is associated with certain urethral infections which can be the underlying cause of the patient’s symptoms 1.

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