Selective urethrectomy following cystoprostatectomy for bladder cancer

D. P. Hickey, M. S. Soloway, W. M. Murphy

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

The poor prognosis in patients who have symptomatic urethral carcinoma after cystoprostatectomy has prompted some investigators to recommend prophylactic urethrectomy. However, this approach subjects the majority of these patients (up to 90 per cent) to an operation for a disease that they might never have and precludes some innovative urinary diversion techniques. From June 1976 to July 1985 we performed 75 cystoprostatectomies for bladder cancer in men. Three patients underwent simultaneous urethrectomy because of tumor in the urethra. Of the remaining 72 patients who were followed by urethral wash cytology studies every 6 months 7 (10 per cent) had positive cytology studies during followup and underwent urethrectomy. Subsequent histological examination showed carcinoma in situ in all 7 specimens. To date 6 of the 7 patients are free of disease. One patient died 18 months after urethrectomy without evidence of transitional cell carcinoma. We have had no false positive urethral wash cytology studies and no patient has had local recurrence in the absence of a positive cytology study.

Original languageEnglish
Pages (from-to)828-830
Number of pages3
JournalJournal of Urology
Volume136
Issue number4
StatePublished - Jan 1 1986
Externally publishedYes

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Urinary Bladder Neoplasms
Cell Biology
Urinary Diversion
Transitional Cell Carcinoma
Carcinoma in Situ
Urethra
Research Personnel
Carcinoma
Recurrence
Neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

Hickey, D. P., Soloway, M. S., & Murphy, W. M. (1986). Selective urethrectomy following cystoprostatectomy for bladder cancer. Journal of Urology, 136(4), 828-830.

Selective urethrectomy following cystoprostatectomy for bladder cancer. / Hickey, D. P.; Soloway, M. S.; Murphy, W. M.

In: Journal of Urology, Vol. 136, No. 4, 01.01.1986, p. 828-830.

Research output: Contribution to journalArticle

Hickey, DP, Soloway, MS & Murphy, WM 1986, 'Selective urethrectomy following cystoprostatectomy for bladder cancer', Journal of Urology, vol. 136, no. 4, pp. 828-830.
Hickey DP, Soloway MS, Murphy WM. Selective urethrectomy following cystoprostatectomy for bladder cancer. Journal of Urology. 1986 Jan 1;136(4):828-830.
Hickey, D. P. ; Soloway, M. S. ; Murphy, W. M. / Selective urethrectomy following cystoprostatectomy for bladder cancer. In: Journal of Urology. 1986 ; Vol. 136, No. 4. pp. 828-830.
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