Presentation
History of catheterization with the poor urinary stream.
Patient Data
Retrograde urethrogram and voiding cystourethrogram reveal short segment strictures involving the penile urethra and bulbar urethra associated with dilatation of proximal segments.
The posterior urethra appears normal.
Contrast has also begun to fill the bladder.
The urinary bladder shows irregular margin with multiple outpouchings inferring diverticula.
Reflux into a mildly dilated right ureter and into a dilated renal pelvis, with enlargement and blunting of the calyces (grade IV vesicoureteric reflux).
Case Discussion
Short segment penile and bulbar urethral strictures in a patient with poor urinary stream causing neurogenic bladder and right sided vesicoureteral reflux.