Characteristic features of benign prostate hyperophy include all of the following except :
Radiological features of BPH: 'Slit-like' elongated and compressed urethra Smooth filling defect/ indentation in bladder floor Periurethral and subvesical enlargement is very pronounced may produce rounded defect in floor mimicking Foley's balloon. Floor of bladder elevated and trigone pushed upwards, with distal ureteral 'J' or 'Fish Hook' deformity. Trabeculations and distension of bladder Bladder pseudodiveiculi and calculi Bilateral hydronephrosis and hydroureter may occur. On the IVU study the enlarged prostate gland (P) elevates the bladder floor and causes a J-hooking (fish-hooking) deformity of the distal ureters (arrow).
Increased trabeculations in bladder
Enlargement of lateral lobes of prostate
'J' shaped/ 'fish hook' distal ureters
Bilateral hydronephrosis
Genitourinary radiology