Phallic rubber band application to prevent enuresis unusual cause of urethral stricture in a child: A case report

Figure 1 Initial patient presentation at the facility and follow-up contrast imaging. A: Showing typical elastic rubber band; B: Physical examination findings showing the distended suprapubic region from urine retention (white arrow), circumferential penile shaft scar-site of rubber band application (yellow arrow), and ventral urethrocutaneous fistulous exit (red arrow); C: The combined retrograde urethrogram and voiding cystourethrogram showing the location of an evolving urethral stricture (red arrow).

Figure 2 Contrast imaging studies. A: Static cystogram showing duplex left collecting systems and ureters with reflux (yellow arrows) and suprapubic catheter (broader yellow arrow); B: Computerized tomography scan, axial view showing bilateral duplex upper ureters (yellow arrows); C: Computerized tomography scan, axial view demonstrating right partial duplex and left complete duplex lower ureters (yellow arrows), and bladder (green arrow); D: Computerized tomography scan, coronal view of the ureters (yellow arrows).

Figure 3 Contrast imaging and intraoperative image. Sagittal views of computerized tomography scan and ureteroneocystostomy. A: Computerized tomography scan, sagittal view showing right ureter (yellow arrow) insertion into the region of prostatic urethra (red arrow) and bladder (green arrow); B: Computerized tomography scan, sagittal view demonstrating left duplex ureter (yellow arrow) insertion into the bladder; C: Intraoperative view of right ureteroneocystostomy (blue arrow) and left duplex ureteroneocystostomy (black and yellow arrows).