PMC7188514_01
(
A
) The retrograde urethrography demonstrates large prostatic utricle extending over bladderneck (IKOMA Grade 2), and (
B
) the postoperative urethrography revealing normal posterior urethra.
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VCU and retrograde urethrography showed a grade 2 PU ( Fig. 1A ) and because of the persistent UTIs surgical excision of the PU was scheduled.  PU was removed via the umbilical port. Postoperative urethrography showed a normal posterior urethra ( Fig. 1B ).
The operative view showing (
A
) the retracted cystoscope within the prostatic utricle (PU), (
B
) PU below peritoneal reflection, (
C
) ligation of endoloop, and (
D
) PU after ligation and withdrawal of cystoscope.
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PMC7188514_01_10-1055-s-0040-1705155-i190491cr-2.jpg
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 The cystoscope was used to guide identification and dissection of the PU ( Fig. 2 ).