Urethral stricture

Case contributed by Dr Bahman Rasuli

Presentation

Chronic dysuria and frequency with a history of prior old trauma due to catheterization.

Patient Data

Age: 65 years
Gender: Male
Fluoroscopy

Retrograde urethrogram reveals a long segment irregular stricture involving the bulbar urethra, which did not relax on subsequent views.

The proximal segment of the bulbar urethra also shows beaded appearance. The posterior urethra and penile urethra appear normal.  

Contrast has also begun to fill the bladder.  The distended bladder shows a vertically elongated configuration with a markedly irregular and thickened wall and numerous diverticula.

Case Discussion

Regarding the imaging findings, chronic irregular bulbar urethral stricture with subsequent urinary bladder obstruction is diagnosed.

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Case information

rID: 68121
Published: 15th May 2019
Last edited: 16th May 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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