Urethral recurrence after cystoprostatectomy for bladder carcinoma.
Eighty-nine male patients underwent cystoprostatectomy for bladder carcinoma. Prophylactic urethrectomy was performed only on 7 patients whose tumour extended to or beyond the bladder neck. During the follow-up period 9 of 82 patients (11%) developed a urethral recurrence. Eight out of these 9 patients had carcinoma in situ or multiple papillary tumours in the bladder. Of all those patients who had carcinoma in situ, either primary or concomitant with papillary tumour, 18% developed urethral recurrence. The corresponding figure for patients with multiple tumours in the bladder was 15%. Thus the presence of carcinoma in situ or multiple tumours in the bladder seem to be important risk factors for urethral recurrence after cystoprostatectomy.
Nurmi
M
M
Department of Surgery, University of Turku, Finland.
Puntala
P
P
Ekfors
T
T
D000328:Adult; D000368:Aged; D002278:Carcinoma in Situ / Q000556:secondary* / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D012307:Risk Factors; D014523:Urethral Neoplasms / Q000556:secondary*; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery*