Abstract

*Dr. Abdelmalik Mouzount, Karam Yatribi, Omar Elallam, Wilfried Mossé, Sanaa El Majjaoui, Hanan ElKacemi, Tayeb Kebdani, Noureddine Benjaafar

ABSTRACT

Primary urethral carcinoma (PUC) is a rare diseases which account for only 1% of all male malignancies. The rarity of the disease has prevented prospective studies and most of the treatment data come from case studies and small case series. Bulbar urethral disease carries a worse prognosis because the diagnosis is often delayed due to the nonspecific symptoms. We report an 82-year-old with urethral squamous cell carcinoma. The man presented with a 5 month history of recurrent urinary tract infection, dysuria and hematuria. The patient refused an aggressive surgery, and was desirous of organ preservation, therefore surgical tumor debulking by transurethral resection was performed, followed by chemoradiation therapy using volumetric modulated arc therapy. The patient showed residual tumor on pelvic MRI performed 2 month after and a salvage surgery was needed. In this paper we discuss the management of PUC with a review of the literature.