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Urethral carcinoma after cystectomy: the case for routine urethrectomy
Journal D'Urologie
|January 1, 1984
Summary
A small percentage of men develop urethral cancer after cystectomy. Prophylactic urethrectomy, or removal of the urethra, is recommended to prevent this rare but deadly complication.
Area of Science:
- Urology
- Oncology
Background:
- Cystectomy is a major surgical procedure for bladder cancer.
- Urethral carcinoma is a rare but serious complication following cystectomy.
Purpose of the Study:
- To determine the incidence of urethral carcinoma after cystectomy.
- To evaluate the efficacy of prophylactic urethrectomy.
Main Methods:
- Retrospective analysis of 73 men who underwent cystectomy.
- Calculation of urethral tumor incidence rate.
Main Results:
- Eight out of 73 men (11%) developed urethral carcinoma post-cystectomy.
- The incidence rate was 2.7% per annum.
- All affected patients died within 26 months.
Conclusions:
- Prophylactic urethrectomy is recommended for all patients undergoing cystectomy for carcinoma.
- Urethral removal should include the entire urethra, including the fossa navicularis.
- In select cases without urethral involvement, the procedure may be delayed post-recovery.