PMC4168746_01
1A) Clinical photograph showing diverticulum at the distal part of the penis.
1B) Micturating cystourethrogram showing complete duplication of the urethra in the sagittal plane. Large diverticulum arising from distal part of ventral urethra with small bladder diverticulum.
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Local examination revealed an approximately 4x2cm sized soft tissue swelling on the ventral aspect of the distal part of penis, cystic in nature ( Figure 1A). A micturating cystourethrogram (MCUG) showed complete duplication of the urethra with a diverticulum arising from ventral urethra near its terminal part with a small para ureteral bladder diverticulum ( Figure 1B).
2A) Pictorial diagram showing the glidewire passed from the dorsal urethra to identify its opening into the normal ventral urethra. The cystoscope was passed from the ventral urethra up to the opening of dorsal urethra with a Bugbee electrode for fulguration of this opening.
2B) Post-operative micturating cystourethrogram showing normal urethra, no urethral diverticulum and complete obliteration of the dorsal urethra is noted.
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Tokyo-Japan) through it ( Figure 2A).