Background. Urethral diverticular carcinoma is an unusual finding in urologic lesion commonly found in female patients. Methods. This report presents 6 new cases and reviews the other 53 cases in the English literature. Results. Adenocarcinoma occurs more frequently than transitional and squamous cell cancers combined. Conclusion. The prognosis of the former is more favorable. In general, radical therapy is recommended. However, in some instances of localized disease, and with careful follow‐up, more conservative approach might be attempted. Cancer 1992; 70:665–670.