Presentation
Impaired micturition and recurrent infections of urethra after hypospadias reconstruction.
Patient Data
Patient underwent functional ultrasound 2D/3D of urethra with and without micturition. Transperineal approach and classic penile ultrasound was performed.
B-mode US study of the penis while micturating revealed cystic widening of urethra at two levels caused by multilevel urethral strictures as a complication of hypospadias reconstruction. Within the urethral lumen there are irregular echoes, a result of recurrent urethra infections.
Volume calculation of distended urethra - approx. 50 ml.
Annotated image: Urethra at the level of glans (A) and spongious part (B). Asterisks indicate narrowed lumen. Numbers 1 and 2 - distended parts of urethra. Number 3 - normal proximal lumen of spongious urethra.