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[Urethral recurrence of bladder carcinoma following cystectomy].

During a recent 6-year period 74 male patients underwent cystectomy for bladder carcinoma. Of these 74 patients, simultaneous urethrectomy was done on 9 patients. Of the remaining 65 patients who had only total cystectomy, 7 (10. 8%) had clinically suspected urethral reccurrence. Five of the 7 patients died of cancer 2 to 26 months (mean 9. 6) after urethral reccurrence. Four of the 5 patients died of metastatic disease, only one death was directly related to the urethral reccurrence. We considered prophylactic urethrectomy in all male patients undergoing cystectomy may be avoided. We discussed the management of the urethra in male patient who have undergone cystectomy.