Giant-cell tumor of the urethra: Report of an unusual case
A 75-year-old male without any comorbidity presented with complaints of poor urinary stream and dribbling. On examination, the urinary bladder was partially filled (palpable), meatus appeared normal, and spongiofibrosis was present in the bulbar urethra. The patient was planned for further workup, suprapubic cystostomy, and later on, definitive surgery in the form of substitution urethroplasty. Routine investigations were within normal limits. Retrograde urethrogram and micturating cystourethrogram were suggestive of a narrow caliber penile urethra with relatively small capacity, chronically obstructed bladder outlet with multiple diverticulae of the urinary bladder, and a stricture at the distal bulbar urethra and .

In the past, the patient had undergone transurethral resection of the prostate (TURP) 5 years ago, followed by optical internal urethrotomy 6 times in the past 4 years. Intraoperatively, urethroscopy showed the penile urethra of good caliber, with a pinpoint opening in the distal urethra. However, the mucosa was not healthy. Antegrade cystoscopy showed multiple diverticulae in the bladder, wide-open bladder neck, with post-TURP changes, and the verumontanum was visualized. Urethroplasty was started with midline perineal incision. On the right side of the distal bulbar urethral region, there was a firm growth involving the urethra, for which tissue was sent for frozen section, which showed a tumor in the urethral wall.

Anterior urethrectomy, including removal of the proximal part of the right crura and perineal urethrostomy, was performed.

Read more: https://pxmd.co/K75C5
Like
Comment
Share