[Cancerous stricture of the urethra]

When certain strictures which have been treated for a long time start to bleed, the possibility of carcinoma should be considered. However, cancer may present in the form of more recent and deteriorating dysuria. The diagnosis is based on urethrography which shows a narrow and tortuous pass. Biopsy should be performed under urethroscopic guidance. The cancer is usually in the bulbomembranous segment. Treatment is disappointing. Wide excision is very badly disabling.