PMC4028924_01
(A) Bilateral mild hydronephrosis (B) significant post-void urine residue (Case 1)
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F1
USG of the abdomen revealed bilateral mild hydronephrosis [Figure 1a], presence of hydroureters, a dilated prostatic urethra, and a thick-walled over-distended bladder. Pre-void (1972 ml), first (957 ml) and second post-void (790 ml) residual volumes were significantly raised [Figure 1b].
(A) Retrograde urethrogram demonstrating a narrowing in the proximal bulbar urethra, (B) micturating cystourethrogram (MCU) showed a narrowing in the proximal bulbar urethra (white ring) (Case 1)
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F2
Subsequent retrograde urethrogram (RGU) showed a 3-cm stricture in the bulbar urethra [Figure 2a]. Micturating cystourethrogram (MCU) using the suprapubic route showed a narrowing in the proximal bulbar urethra, without reflux into the collecting system [Figure 2b].
PMC4028924_02
Retrograde urethrogram showing bulbar urethral stricture (Case 2)
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F3
RGU was performed which showed a short segment stricture in the bulbar urethra [Figure 3].