Male patient 78 years old with a history of systemic arterial hypertension. She complains of difficulty in the beginning of urination and nocturia, that blames his treatment for hypertension. His prostate specific antigen (PSA) is 4.1. I have installed Foley catheterization on four different occasions (for surgical instruments and urinary retention), states that these polls have never been traumatic.
Sonographic examination found an enlarged prostate (BPH grade II) with a nodule projecting into the bladder lumen (see the last three photos). Particularly striking is the presence of four bladder diverticula, two on the right (the larger) and two on the left are smaller, providing all so clear to the bladder, it shows the presence of bladder stones often be frequent in these cases (see case we published in our blog).