On cystoscopy, 113(45%) of these patients were diagnosed as enlarged prostate, 56(22%) as cystitis, 28(12%) as trabeculated bladder, and 14(5%) as vesical calculus, uretheral stenosis and uretheral stricture.
Besides, 70(15%) patients presented with urinary incontinence out of which 28(40%) were diagnosed as cystitis and 14(20%) each as trabeculated bladder, enlarged prostate and uretheral stricture.
Finally, 71(15%) patients presented with haematuria out of which 28(40%) were diagnosed as bladder growth, 15(21%) as cystitis and 14(20%) each as trabeculated bladder and vesical calculus.
The patient then underwent rigid cystourethroscopy under spinal anesthesia, with findings of smooth uretha, non-obstructing prostate lobes, mildly trabeculated bladder
wall, normal bilateral ureteral orifice and no active bleeding.
Radiological findings include hydroureteronephrosis, renal scarring, vesicoureteric reflux, large volume trabeculated bladder
, conical dilatation of the posterior urethra and persistent or intermittent narrowing in the region of external sphincter.
Characteristic findings on VCUG include a dilated, thick-walled, trabeculated bladder
and an elongated dilated prostatic urethra with a relatively narrowed bladder neck.
A voiding cystourethrogram demonstrates a severely trabeculated bladder
and bilateral grade 3 vesicoureteral reflux, and a urinary residual of 45 ml.
Cystoscopy demonstrated a moderately large prostate with a prominent middle lobe and a moderately trabeculated bladder
with small diverticula.