Urethra diverticula

Fig. 1.1.6. VCU in a 7-year-old boy who complained of dys-uria. Oblique view during micturition. Slightly irregular bladder cannot be interpreted as abnormal during micturition. Bladder diverticulum (the same was shown on the opposite side). Moderate dilatation of the posterior urethra. Valves were suspected. Cystoscopy confirmed the diagnosis, and coagulation was performed. However, the orifices of the diverticula were not seen by the surgeon...

Fig. 6.11. VCU in a 7-year-old boy with history of dys-uria no history of trauma. During micturition, a distended posterior urethra was identified as well as a diverticulum associated with stenosis...

The key questions to address by imaging are as follows is there any urethral leak (the absence of a leak cannot exclude hematoma or contusion) and is there any retrograde opadfication of the bladder (allowing the differential diagnosis between complete and partial disruption of the urethra) The followup of patients is of primary importance. The aim is to detect urethral stenosis or diverticulum. Again, prudent retrograde opacification is the optimal examination. 

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