PMC6215387_01
Retrograde urethrogram of a 40-year-old man showing short segment mid-bulbar urethral stricture.
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Retrograde urethrogram revealed a short segment mid-bulbar urethral stricture (Fig. 1).
CT angiography images (axial, sagital cuts) showing pseudoaneurysm in the region of penile urethra, which was confirmed to be arising from bulbourethral artery in dynamic images.
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CT angiography was carried out in view of recurrent profuse bleeding, which showed right bulbourethral artery pseudoaneurysm of dimensions 9 x 8 x 8 mm (Fig. 2).
(A) Schematic diagram showing urethral artery pseudoaneurysm (arrows). (B) Schematic diagram showing USG transducer probe localizing the site of pseudoaneurysm. (C) Schematic diagram showing obliteration of tract following USG guided compression. USG, ultrasound.
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Pseudoaneurysm was localized with colour Doppler, and perineal focused USG compression was performed for about 25 minutes (Fig. 3).
CT angiography images (axial, sagital cuts) showing resolution of pseudoaneurysm after USG-guided compression technique.
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A repeat CT angiography showed resolution of pseudoaneurysm (Fig. 4).