Cobb's collar: a rare cause of urinary retention

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Ottavio Adorisio1, Francesca Bassani, Massimiliano Silveri

  • 1Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Palidoro, Italy. o.adorisio@yahoo.it

BMJ Case Reports
|January 25, 2013
PubMed

Insights

Cobb's collar, a rare urethral stricture, can cause serious urinary issues. Successful videoendoscopic management in a teen highlights the importance of early diagnosis for preserving kidney and bladder function.

Area of Science:

  • Pediatric Urology
  • Urethral Abnormalities
  • Congenital Anomalies

Background:

  • Cobb's collar is a rare congenital membranous stricture of the bulbar urethra.
  • It is frequently misdiagnosed and can lead to significant urinary complications.

Observation:

  • A 14-year-old male presented with symptoms suggestive of a urethral anomaly.
  • Diagnostic evaluation confirmed the presence of Cobb's collar.

Findings:

  • The patient underwent a successful videoendoscopic one-step management of the Cobb's collar.
  • This minimally invasive approach resolved the stricture effectively.

Implications:

  • Paediatric urologists should maintain awareness of Cobb's collar as a differential diagnosis in affected children.
  • Timely endoscopic intervention can prevent severe complications like urinary retention and renal damage, avoiding major surgery.

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