A rare cause of acute urinary retention: urethral metastasis from renal cell carcinoma.
Metastatic renal cell carcinoma in the urethra is exceedingly rare, with only three cases of metachronous metastases previously reported. We report a 78-year-old man with acute urinary retention secondary to urethral metastasis presented as the first clinical manifestation. Subsequent investigation confirmed a primary in the right kidney. Radical nephrectomy and total penectomy were performed aiming for cure, though the patient died with brain metastases 22 months after the surgery. The incidence and route of spread of the disease are discussed. The presentation, treatment and outcome of the reported cases are reviewed.
Cheng
Chi Wai
CW
Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China. drmcheng@hotmail.com
Wong
Wai Sang
WS
Chan
Lung Wai
LW
Lai
Fernand Mac-Moune
FM
D000208:Acute Disease; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D010413:Penis / Q000601:surgery; D014523:Urethral Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology*