Robert L. Lebowitz, M.D. Children' s Hospital, Harvard Medical School Boston, Massachusetts

This 18-year-old boy was undergoing partial thyroidectomy for a thyroid nodule. At the time of surgery, a catheter could not be placed into his urethra and so a suprapubic tube was placed. He denied any history of urinary tract symptoms, perineal injury, prior instrumentation, ect. After surgery, a voiding cystourethrogram was done through the suprapubic tube. It showed a typical severe proximal bulbous urethral structure (Figure 1). A retrograde urethrogram showed that the stricture was about 1cm in length (Figure 2).