1/18. Epidermoid carcinoma of the male urethra. Case report.A case of voiding difficulties was investigated. Other than usual prostatic obstruction or urethral stricture, a small mass at the anterior region of the bulbous urethra was present. Detailed investigation by urethroscopy, biopsy, CT imaging and ultrasonography revealed epidermoid carcinoma of the urethra.- - - - - - - - - - ranking = 1keywords = urethral stricture (Clic here for more details about this article) |
2/18. leiomyoma of the male urethra: a case report and review of the literature.We describe the case of a 48-year-old quadriplegic black man with history of C4-C5 cervical spine and cord injury secondary to a fall, who presented to the University of Cincinnati Medical Center urology Service with obstructive symptoms at urination. A bulbous urethral stricture was diagnosed and subsequently resected with primary urethral reanastomosis. On pathologic examination, the surgical specimen contained an epithelioid leiomyoma at the site of the urethral stricture. Although leiomyomas of the female urethra are relatively common, we identified only 2 previously reported cases of leiomyomas of the male urethra in the English-language medical literature. To the best of our knowledge, we describe the third case of leiomyoma of the male urethra, the first of the epithelioid type.- - - - - - - - - - ranking = 1keywords = urethral stricture (Clic here for more details about this article) |
3/18. Introital stenosis requiring pelvic resection and soft tissue reconstruction.BACKGROUND: Introital stenosis from both bony and soft tissue contracture is an unusual clinical problem not well addressed in the literature. CASE: A woman with a history of pelvic irradiation at age 1 for malignancy presented with severe introital stenosis unresponsive to conservative topical and dilatational therapy. She ultimately required staged bony resection of her infantile pelvis and soft tissue reconstruction to reestablish her introital aperture to an adequate and functional size. CONCLUSION: Introital stenosis from childhood requires a different treatment because development of the pelvis may not have been normal, and bony narrowing may exist in conjunction with soft tissue contracture. A staged multispecialty approach is recommended to treat this interesting variant of introital stenosis.- - - - - - - - - - ranking = 7.3198450518455E-5keywords = stenosis (Clic here for more details about this article) |
4/18. Malignant anterior urethral strictures: a rare complication of transurethral resection of malignant prostate.A 65-year old male presented with obstructive voiding symptoms and recurrent hematuria following transurethral resection of malignant prostates. Following an unsuccessful attempt at catheterization, urethroscopy revealed narrowing of anterior urethra secondary to multiple nodular lesions. biopsy of lesion showed adenocarcinoma positive for prostate specific antigen. This rare presentation has been reported only twice in past. Clinical presentation, pathophysiology and brief review of literature are discussed.- - - - - - - - - - ranking = 4keywords = urethral stricture (Clic here for more details about this article) |
5/18. Urethral adenocarcinoma associated with urethral diverticulum in a patient with progressive voiding dysfunction.Urethral adenocarcinoma associated with urethral diverticulum is a rare condition that requires a high index of suspicion to ensure early diagnosis and appropriate therapy. The development of urethral stenosis in a patient with a urethral diverticulum warrants early biopsy to rule out a malignant lesion.- - - - - - - - - - ranking = 9.1498063148069E-6keywords = stenosis (Clic here for more details about this article) |
6/18. Urethral tuberculosis.Tuberculous affection of the urethra is very rare. Herein we report 2 cases of urethral tuberculosis. One in a young married female who had isolated urethral involvement presenting as urethral caruncle and the second in a young male with urethral stricture complicated by fistulae and abscess in association with renal tuberculosis. The relevant literature is briefly reviewed.- - - - - - - - - - ranking = 1keywords = urethral stricture (Clic here for more details about this article) |
7/18. Plasmocytoma of the urethra.CASE history AND FINDINGS: A 35-year-old male patient presented with a 1-year history of hesitancy in voiding. An urethrogram revealed urethral stricture, therefore an urethrotomy with biopsies was performed. Histologic results suggested the diagnosis of extramedullary mature plasmocytoma. TREATMENT AND OUTCOME: After external beam radiotherapy with a total dose of 45 Gy the patient is disease-free without any therapy-related late effects after a follow-up of 36 months. CONCLUSION: Primary localization of extramedullar plasmocytomas in the genitourinary tract is very rare. This case report discusses a case of a male patient suffering from plasmocytoma of the urethra, who could be treated successfully by primary external beam radiotherapy.- - - - - - - - - - ranking = 1keywords = urethral stricture (Clic here for more details about this article) |
8/18. urinary retention caused by adenocarcinoma arising in recurrent urethral diverticulum.We present a case of adenocarcinoma arising in a urethral diverticulum. A 71-year-old woman presented with urinary retention and a mass in the anterior vaginal wall. A biopsy was performed and revealed adenocarcinoma. Anterior pelvic exenteration with continent urinary diversion was performed followed by adjuvant radiation therapy as the tumor was large and poorly differentiated. She developed stomal stenosis and underwent stomal revision. The patient has done well since, with no evidence of recurrence at 1-year follow-up at the time of this report.- - - - - - - - - - ranking = 9.1498063148069E-6keywords = stenosis (Clic here for more details about this article) |
9/18. Urethral and paraurethral leiomyomas in the female patient.Urethral leiomyomas in women arise from the smooth muscle of the urethra and are rare, benign urethral tumors seen primarily in women. We present three cases of urethral leiomyomas identified over a 30-year period at our institution. A 45-year old woman presented with a 1 year history of frequency, nocturia, and hesitancy and was found to have both a 2-cm proximal urethral and a 3-cm posterior bladder leiomyoma. She developed stress urinary incontinence postoperatively and was treated with a Burch colposuspension. A 33-year old woman with hematuria was found to have both a 3-cm urethral and a 3-cm paraurethral leiomyoma at the bladder neck. A 21-year old without urinary complaints was found to have a 3-cm leiomyoma at the urethral meatus. Urethral leiomyomas must be differentiated from paraurethral leiomyomas, which are often asymptomatic and may be removed without disrupting the urethral mucosa or smooth muscle. The removal of urethral myomas may be complicated by the development stress urinary incontinence or urethral stricture.- - - - - - - - - - ranking = 1keywords = urethral stricture (Clic here for more details about this article) |
10/18. Carcinoma of the male urethra.Between February 1965 and November 1981 we treated 10 men with transitional or squamous cell carcinoma of the urethra. Treatment consisted of radiation therapy alone in 5 patients, operation alone in 4 and a combination of irradiation plus operation in 1. radiation therapy produced local-regional control in 4 of the 5 patients with carcinoma of the distal or prostatic urethra, and 3 were completely free of disease at 5 years. The only complication of irradiation was urethral stricture in 3 patients, which was treated successfully by periodic urethral dilation. None of the patients treated by an operation alone or with irradiation achieved local-regional control.- - - - - - - - - - ranking = 1keywords = urethral stricture (Clic here for more details about this article) |
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