PAPILLOMATOSIS OF THE URETHRA¹

Incidence of urethral tumor involvement in 910 men with bladder cancer

“…No local staging was given, but 3 patients had the urethral recurrence within 4 months, and the authors concluded that urethrectomy should regularly accompany cystectomy. Ashworth's series on 1307 patients with bladder tumors [1] is the only report thus far available in which concomitant urethral tumors have been related to Correspondence to. A. Stenzl, Fax: +43(512)504-4873 the total n u m b e r of cases treated for bladder cancer at the same institution.…”

The use of neobladders in women undergoing cystectomy for transitional-cell cancer

“…Unfortunately, in this study including only 22 cases treated over a period of 15 years, no detail regarding the localization of either primary tumors in the bladder or secondary tumors in the urethra was provided. Ashworth [1] and Stenzl et al [32] looked at the incidence of secondary urethral tumors in all patients treated for bladder cancer at a single institution over a longer period. Ashworth [1] reported urethral tumors in 1.4% of 293 women, but no further detail with regard to the stage or localization of the primary tumor was given.…”

“…Ashworth [1] and Stenzl et al [32] looked at the incidence of secondary urethral tumors in all patients treated for bladder cancer at a single institution over a longer period. Ashworth [1] reported urethral tumors in 1.4% of 293 women, but no further detail with regard to the stage or localization of the primary tumor was given. In 356 women with bladder cancer of different stages who were followed for up to 33 years, Stenzl et al [32] found urethral tumor involvement in 2% of the entire study group and in 1% of patients with localized (T2-T3b, NO, MO) invasive cancer amenable to radical cystectomy.…”

Management of the Urethra in Patients Undergoing Radical Cystectomy for Bladder Carcinoma

“…These criteria must be recognized before cystectomy: carcinoma in situ or cellular atypia in the urethra, involvement of the pros tatic urethra from the bladder tumor. Some other criteria from earlier reports [2,5,7,12] are still being debated: vesical carcinoma in situ or multifocal bladder tumors. In the absence of these criteria, urethrectomy in our opinion, is not indicated.…”

“…Proper management of the membranous urethra at the time of cystectomy is of paramount importance if neither bladder replacement nor simultaneous urethrectomy are considered: the membranous urethra should be dissected down to the urogenital diaphragm where and only where it should be Discussion The frequency of urethral involvement by transi tional cell carcinoma following cystectomy varies ac cording to different authors. In a review of 1,307 pa tients with bladder carcinoma, Ashworth [2] found that in 4.1% the urethra was involved, while Faysal [7] reported a 13.5% occurrence. In our series, excluding the patient with a urethral tumor and a normal bladder, 8 % (11 of 140) had a symptomatic urethral tumor.…”