Primary urethral carcinoma – unexpected cause of urethral stricture. Case report and review of the literature.

Krukowski, Jakub; Czajkowski, Mateusz; Kłącz, Jakub; Wawrzaszek, Olga; Gołębiewska, Martyna; Matuszewski, Marcin

doi:10.11152/mu-2015

Cited by 10 publications

(4 citation statements)

References 17 publications

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“…The most common symptoms reported were gross hematuria, bloody urethral discharge for initial presentation, while extra-urethral mass, bladder outlet obstruction, pelvic pain, urethrocutaneous fistula, abscess formation, and dyspareunia were reported progressive symptoms (12). For tumor located in the bulb or proximal urethra, dysuria was often reported due to the obstruction of urethra (13,14). In this case, the patient presented with untypical symptoms of palpable mass and a transient pain in perineal region with frequent and painful urination.…”

Section: Discussionmentioning

confidence: 99%

Transperineal-incision urethrectomy combined with laparoscopic prostatectomy for a male patient with squamous cell carcinoma involving distal plus proximal urethra and untypical symptoms—a case report

Wang¹,

Yang²,

Wu³

et al. 2021

Transl Androl Urol

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Primary urethral carcinoma (PUC) is a rare malignancy, covering less than 1% of all genitourinary cancers. Different tumor location, classified as tumor in distal or proximal urethra, represents different characteristics and often leads to different treatment modality. However, data on the surgical approach for PUC involving both distal and proximal urethra remains rare. In this case, we presented a 75-year-old man with untypical symptoms of perineal mass and unspecific frequent and painful urination.Results of multiparametric magnetic resonance imaging (mp-MRI), positron emission tomography/computed tomography (PET/CT) scan, and percutaneous biopsy revealed a cT2N1M0 PUC involving both distal and proximal urethra. Given the request of patients for a normal penile appearance after surgery, a transperinealincision urethrectomy combined with laparoscopic prostatectomy and iliac lymphadenectomy was performed with optimal outcomes. The results of histopathological analysis revealed a moderately-high differentiated PUC with no positive lymph node. Post-operative recovery was uneventful. On first visit 1-month after surgery, physical examination revealed a satisfactory wound healing and appearance of penis and no recurrent lesions were found on mp-MRI. This is a rare case with untypical symptoms indicating that patients with PUC involving both distal and proximal urethra may present with no symptoms of urethral stricture but only non-specific lower urinary symptoms. The surgical approach we proposed in this case proves to be a safe and feasible one to completely resect the tumor and preserve a normal appearance of penis, thus worth to be applied in the specific patient population.

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Section: Discussionmentioning

confidence: 99%

Transperineal-incision urethrectomy combined with laparoscopic prostatectomy for a male patient with squamous cell carcinoma involving distal plus proximal urethra and untypical symptoms—a case report

Wang¹,

Yang²,

Wu³

et al. 2021

Transl Androl Urol

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“…As a complication of urethral carcinoma, a stricture of urethra can occur, and it can be proved using ultrasonography [17]. As an exceedingly rare entity, a glomus tumor of urethra in a male was described [18].…”

Section: Discussionmentioning

confidence: 99%

Ischiadic Nerve Lesion Due to Metastasis of a Non-Differentiated Urethra Carcinoma: Case Report and Review of the Literature

Kasík¹,

Jaroš²,

Kalvach³

et al. 2021

COR

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In clinical practice, we encounter mechanical lesions of the ischiadic nerve most frequently with a trauma of the pelvis circle or because of surgical injury in the alloplastic treatment of the hip joint. Other causes for nerve lesions are sporadic or even rare. To such ones also belongs compression of the nerve by metastasis of a urethra carcinoma to the gluteus maximus muscle. A typical manifestation of this nerve injury is a tibioperoneal paresis with a preponderance in its peroneal component. The diagnostic process can be additionally complicated by a contemporal vertebrogenic syndrome with radiculopathy, the more so, when an intervertebral disc protrusion on imaging would be discovered. We present a case of a woman with a two-year history of an undifferentiated urethra carcinoma which has metastasized into the gluteus muscle and has produced a compression of the ischiadic nerve.

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“…In order to restore normal urine flow, blockage must be removed in order to treat obstructive uropathy. [2][3][4][5][6] Ultrasonography-guided percutaneous nephrostomy is one of the most prevalent minimally invasive techniques used to treat obstructive uropathy (PCN). 7 This surgery includes the insertion of a tube through the skin into the renal collecting system, allowing urine to be drained from the affected kidney.…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of Complications of Ultrasound Guided Percutaneous Nephrostomy in Cases of Obstructive Uropathy

Haris¹,

Rasheed²,

Hussain³

et al. 2023

PJMHS

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Objective: To evaluate the complications of ultrasound guided percutaneous nephrostomy in cases of obstructive uropathy at tertiary care hospital. Study design: Case series Duration of study: From February 2022 to August 2022. Setting: Department of Urology, Sheikh Zaid Hospital, Rahim Yar Khan. Material and methods: Total 133 patients having age between 20-40 years either gender with obstructive uropathy due to ureteric obstruction caused by (impacted ureteric stones, PUJ obstruction, carcinoma prostate involving ureters, iatrogenic ureteric injury and bladder tumors) were included in the study and post procedure complications were evaluated. Results: Mean age was 44.83 ± 13.05 years. Regarding presenting symptoms, total 94 (71%) patients had decreased urine amount, 29 (22%) patients had flank pain while 10 (7%) patients had fever. Septicemia was found in 11 (8.33%) patients, bleeding in 4 (3%) patients followed by PCN dislodgement in 8 (6%) patients. Conclusion: Results of this study revealed that septicemia was the most common complication in cases of obstructive uropathy after PCN. More than 50% patients were between 41-60 years. Male population was commonly suffered from obstructive uropathy. Most of the patients had bilateral obstructive uropathy and decreased urine output was common presenting symptom. Keywords: PCN, obstructive uropathy, nephrostomy, bleeding, blockage

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Primary urethral carcinoma – unexpected cause of urethral stricture. Case report and review of the literature.

Cited by 10 publications

References 17 publications

Transperineal-incision urethrectomy combined with laparoscopic prostatectomy for a male patient with squamous cell carcinoma involving distal plus proximal urethra and untypical symptoms—a case report

Transperineal-incision urethrectomy combined with laparoscopic prostatectomy for a male patient with squamous cell carcinoma involving distal plus proximal urethra and untypical symptoms—a case report

Ischiadic Nerve Lesion Due to Metastasis of a Non-Differentiated Urethra Carcinoma: Case Report and Review of the Literature

An Evaluation of Complications of Ultrasound Guided Percutaneous Nephrostomy in Cases of Obstructive Uropathy

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