Urethral stricture with venous intravasation, Christmas tree bladder and vesicoureteral reflux
Diagnosis certain
Presentation
Poor urinary stream.
Patient Data
Age: 30 years
Gender: Male
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Retrograde urethrogram and voiding cystourethrogram reveal a short segment stricture involving the bulbar urethra. The posterior urethra and penile urethra appear normal. Evidence of venous intravasation is observed.
In addition, there is vertical urinary bladder with wall hypertrophy which causes an irregular outline resembling Christmas tree appearance.
There is also left sided vesicoureteral reflux.
Case Discussion
Short segment bulbar urethral stricture in a patient with poor urinary stream causing Christmas tree bladder and left sided vesicoureteral reflux.
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