Korean J Urol.  2010 Feb;51(2):145-148.

Laparoscopic Radical Cystourethrectomy in a Patient with Adenocarcinoma of the Female Urethral Diverticulum

• Ha HK
• Lee W
• Lee SD
• Lee JZ
• Chung MK

Abstract

Adenocarcinomas arising in the female urethra have been rarely reported. Here we report a case of laparoscopic radical cystourethrectomy with incontinent urinary diversion in a patient with adenocarcinoma in the urethra and bladder. A 60-year-old female presenting with a history of recurrent cystitis and painless hematuria was referred to our facility with voiding difficulty and a urethral mass. Radiologic evaluation showed an enhanced mass in the urethra and bladder neck. Cystoscopic biopsy of the mass in the bladder neck revealed an adenocarcinoma. Laparoscopic radical cystourethrectomy with anterior vaginal wall excision followed by extracorporeal incontinent urinary diversion was performed.

Keyword

Adenocarcinoma; Laparoscopy; Urethra

MeSH Terms

Adenocarcinoma
Biopsy
Cystitis
Diverticulum
Female
Hematuria
Humans
Laparoscopy
Middle Aged
Neck
Urethra
Urinary Bladder
Urinary Diversion

Figure

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  FIG. 1 Cystoscopy showed an exophytic mass at the bladder neck.

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  FIG. 2 The urethral mass invaded to the bladder neck and anterior vaginal wall, but there was no pelvic lymph node enlargement. Gadolinium-enhanced magnetic resonance imaging (MRI) showed an irregular enhanced mass that invaded the bladder neck (white arrows).

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  FIG. 3 Gross findings were of an exophytic friable mass at the urethra and the bladder neck, measuring 5.6×5.3 cm. The lesion invaded the periurethral connective tissues (A). Microscopic examination of the tumor (H&E, ×40) revealed clear cell adenocarcinoma (B).

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