Indian Journal of Radiology Indian Journal of Radiology  

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ABDOMINAL RADIOLOGY Table of Contents   
Year : 2014  |  Volume : 24  |  Issue : 1  |  Page : 87-90
Cobb's collar occurring in two brothers in a family: A rare entity revisited

1 Department of Medicine, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India
2 Department of Medicine, Medical College and Hospital, Kolkata, West Bengal, India
3 Department of Radiology, Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India

Correspondence Address:
Sayantan Ray
Department of Medicine, Calcutta National Medical College, 24, Gorachand Road, Kolkata - 700 014, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.130714

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Most urethral strictures arise from iatrogenic, traumatic, or inflammatory causes. We report the familial occurrence of a congenital bulbar urethral stricture in two brothers. Retrograde and voiding cystourethrography was performed. A Cobb's collar was diagnosed after radiological and endoscopic evaluation in both cases and was successfully managed with urethroplasty. Cobb's collar is a rarely recognized cause of a membranous stricture of bulbar urethra that can lead to several urinary problems. In cases of adolescent and young adults presenting with symptoms of progressive urinary obstruction and enuresis with or without urinary tract infection, Cobb's collar can be seen as a minor constriction in the bulbar urethra, but is not frequently symptomatic, and the familial occurrence of such a stricture is even rarer.

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