Abstract
Female bladder outlet obstruction is uncommon. We report a case of bladder outlet obstruction secondary to urethral stenosis leading to bladder wall trabeculation. The patient presented at our clinic because of lower urinary tract symptoms including nocturia, urgency, bed wetting, hesitancy, straining to void, and incomplete emptying. Urodynamic study revealed a low maximum free uroflow rate, high residual urine volume, and low compliance on filling phase cystometry. Introital ultrasonography with two- and three-dimensional (2D and 3D) scanning displayed a constriction in the echolucent part of the lower-mid urethra with hyperechogenicity and a lattice-like appearance of the bladder wall. Cystourethroscopy confirmed urethral stenosis and bladder wall trabeculation. The voiding symptoms subsided after the urethral stenosis was relieved by urethral dilatation, but, despite some improvement, the irritative symptoms persisted. Introital ultrasonography with 2D and 3D scanning may help to clarify the cause of female bladder outlet obstruction.
| Original language | English |
|---|---|
| Pages (from-to) | 697-700 |
| Number of pages | 4 |
| Journal | Ultrasound in Obstetrics and Gynecology |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2006 |
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Keywords
- Bladder outlet obstruction
- Bladder wall trabeculation
- Introital ultrasound
- Urethral stenosis
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Radiology Nuclear Medicine and imaging
- Radiological and Ultrasound Technology
- Reproductive Medicine
- Acoustics and Ultrasonics
Cite this
Two- and three-dimensional ultrasonographic findings in urethral stenosis with bladder wall trabeculation : Case report. / Huang, Wen-Chen; Yang, Shwu-Huey; Yang, Jenn-Ming.
In: Ultrasound in Obstetrics and Gynecology, Vol. 27, No. 6, 06.2006, p. 697-700.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Two- and three-dimensional ultrasonographic findings in urethral stenosis with bladder wall trabeculation
T2 - Case report
AU - Huang, Wen-Chen
AU - Yang, Shwu-Huey
AU - Yang, Jenn-Ming
PY - 2006/6
Y1 - 2006/6
N2 - Female bladder outlet obstruction is uncommon. We report a case of bladder outlet obstruction secondary to urethral stenosis leading to bladder wall trabeculation. The patient presented at our clinic because of lower urinary tract symptoms including nocturia, urgency, bed wetting, hesitancy, straining to void, and incomplete emptying. Urodynamic study revealed a low maximum free uroflow rate, high residual urine volume, and low compliance on filling phase cystometry. Introital ultrasonography with two- and three-dimensional (2D and 3D) scanning displayed a constriction in the echolucent part of the lower-mid urethra with hyperechogenicity and a lattice-like appearance of the bladder wall. Cystourethroscopy confirmed urethral stenosis and bladder wall trabeculation. The voiding symptoms subsided after the urethral stenosis was relieved by urethral dilatation, but, despite some improvement, the irritative symptoms persisted. Introital ultrasonography with 2D and 3D scanning may help to clarify the cause of female bladder outlet obstruction.
AB - Female bladder outlet obstruction is uncommon. We report a case of bladder outlet obstruction secondary to urethral stenosis leading to bladder wall trabeculation. The patient presented at our clinic because of lower urinary tract symptoms including nocturia, urgency, bed wetting, hesitancy, straining to void, and incomplete emptying. Urodynamic study revealed a low maximum free uroflow rate, high residual urine volume, and low compliance on filling phase cystometry. Introital ultrasonography with two- and three-dimensional (2D and 3D) scanning displayed a constriction in the echolucent part of the lower-mid urethra with hyperechogenicity and a lattice-like appearance of the bladder wall. Cystourethroscopy confirmed urethral stenosis and bladder wall trabeculation. The voiding symptoms subsided after the urethral stenosis was relieved by urethral dilatation, but, despite some improvement, the irritative symptoms persisted. Introital ultrasonography with 2D and 3D scanning may help to clarify the cause of female bladder outlet obstruction.
KW - Bladder outlet obstruction
KW - Bladder wall trabeculation
KW - Introital ultrasound
KW - Urethral stenosis
UR - http://www.scopus.com/inward/record.url?scp=33745641316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745641316&partnerID=8YFLogxK
U2 - 10.1002/uog.2787
DO - 10.1002/uog.2787
M3 - Article
C2 - 16710885
AN - SCOPUS:33745641316
VL - 27
SP - 697
EP - 700
JO - Ultrasound in Obstetrics and Gynecology
JF - Ultrasound in Obstetrics and Gynecology
SN - 0960-7692
IS - 6
ER -