Open AccessUrinary retention in adult hypospadias patient resolved by unroofing of a mildly enlarged prostatic utricle
Author(s) -
Oshima Koichi,
Kanematsu Akihiro,
Hashimoto Takahiko,
Shimatani Kimihiro,
Nojima Michio,
Yamamoto Shingo
Publication year - 2021
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12257
Subject(s) - dysuria , utricle , voiding cystourethrogram , urethra , hypospadias , medicine , meatal stenosis , urology , prostatic urethra , cystoscopy , urinary system , prostate , anatomy , urethroplasty , vesicoureteral reflux , inner ear , disease , cancer , reflux
A prostatic utricle is a congenital saccular indentation in the prostatic urethra and frequently enlarged in hypospadias patients. We present a case of urinary retention associated with a mildly enlarged utricle. Case presentation A 20‐year‐old male, who underwent multiple repair procedures for hypospadias during childhood, was referred to us for dysuria. Retrograde urethrogram, voiding cystourethrogram, and cystoscopy results revealed only a mildly enlarged prostatic utricle, with no apparent lower urinary tract obstruction or urethral valves. A meatotomy was performed under suspicion of meatal stenosis, though urinary retention occurred following that procedure. Transrectal ultrasonography revealed flapping of the prostatic urethra floor over the utricle. Transurethral unroofing of the utricle relieved the dysuria. Conclusion A mildly enlarged prostatic utricle can cause dysuria. To the best of our knowledge, no case similar to the present has been previously reported.