Korean J Urol.  1987 Apr;28(2):215-218.

Recurrent Transitional Cell Carcinoma of the Urethra in Men having Cystectomy and Ileal Conduit for Bladder Cancer

• Lee GH
• Yoon DK
• Koh SK

Abstract

15 male patients who received total cystectomy with ileal conduit for bladder tumor were reviewed in relation to the incidence of urethral involvement. Of 15 patients six had recurrent transitional cell carcinoma in the urethral remnant among them one (1/15) received subsequent therapeutic urethrectomy and remaining 5 patients underwent delayed therapeutic urethrectomy after confirmation of urethral tumor but 9 of the 15 had only received total cystectomy. We concluded that the remaining urethra might constitute a potential hazard for further tumor formation. We believe that prophylactic urethrectomy is the way to prevent the recurrence of the malignancy who have multiple tumors, concurrent upper tract tumors, and involvement of the trigone or prostatic urethra.

Keyword

transitional cell carcinoma; urethra; bladder cancer; cystectomy; recurrence

MeSH Terms

Carcinoma, Transitional Cell*
Cystectomy*
Humans
Incidence
Male
Recurrence
Urethra*
Urinary Bladder Neoplasms*
Urinary Bladder*
Urinary Diversion*