Presentation
Hydronephrosis on ultrasound.
Patient Data
Age: 70 years
Gender: Male
From the case:
Chronic bladder outlet obstruction
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No renal tract stones.
Moderate bilateral nephrohydroureter down to the bladder base. Widely patent ureteric orifices.
Trabeculated urinary bladder.
Moderate prostatomegaly.
The remainder of the solid organs are normal. No bony abnormality.
Case Discussion
Chronic bladder outlet obstruction is not uncommonly observed in elderly males, typically those with significant prostate enlargement from benign prostate hyperplasia. Often a hydronephrosis is identified on imaging for an alternative indication and investigations are sort for a sinister cause for the perceived obstructive uropathy.
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