PMC5032851_01
Clinical photograph showing an ulceroproliferative growth of the penis.
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At physical examination, there was an ulceroproliferative growth of the penis (Figure 1).
Retrograde urethrogram showing multiple, contrast-filled, narrow, irregular, fistulous tracts (black arrows) arising from the pendulous part of the anterior urethra with significant distortion and irregular, beaded narrowing. The proximal segment of the pendulous part of the anterior urethra shows smooth and regular dilation (white arrow). The distorted external urethral meatus (asterix) was identified by asking the patient to micturate to observe the main stream of urine.
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RGU revealed multiple (around 15 to 20), contrast-filled, narrow, irregular, fistulous tracts (urethrocutaneous fistulas) arising from both the dorsal and ventral aspects of the pendulous (penile) part of the anterior urethra (Figure 2).
A 'thimble bladder' on voiding cystourethrogram showing a markedly-contracted and small-capacity urinary bladder with a thickened, irregular and edematous wall (white arrow) and multiple nodular densities in the bladder lumen suggestive of hypertrophied trabeculae (black arrows) along its walls. No reflux into the ureters during micturition was seen.
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There were multiple nodular densities in the bladder lumen suggestive of hypertrophied trabeculae along its anterior, posterior and lateral walls, representative of a 'thimble bladder' (Figure 3).