Solitary Prostatic Urethral Carcinoma: Cryptic
cause of Acute Urinary Retention
Published: June 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44450.13794
Mayank Jain, Abhishek Umesh Bhalerao, M Shivalingaiah, Navaneeth R Srinidhi, Pramod Adiga
1. Assistant Professor, Department of Urology, Institute of Nephrourology, Bengaluru, Karnataka, India.
2. Resident Doctor, Department of Urology, Institute of Nephrourology, Bengaluru, Karnataka, India.
3. Professor, Department of Urology, Institute of Nephrourology, Bengaluru, Karnataka, India.
4. Assistant Professor, Department of Urology, Institute of Nephrourology, Bengaluru, Karnataka, India.
5. Assistant Professor, Department of Urology, Institute of Nephrourology, Bengaluru, Karnataka, India.
Correspondence
Mayank Jain,
Department of Urology, Institue of Nephrourology, Victoria Hospital Campus, K R Market, Bengaluru, Karnataka, India.
E-mail: ricky_bjpune@yahoo.com
Acute Urinary Retention (AUR) caused by urological malignancy is a rare event, even in elderly. A solitary prostatic urethral Transitional Cell Carcinoma (TCC) causing retention of urine is even rarer. Hereby, a case of 60-year-old non-smoker, with sudden onset of AUR was reported. Detailed clinical examination, biochemical and radiological investigations were not conclusive. Cystoscopy revealed a solitary papillary prostatic urethral growth projecting from base probably causing urinary retention. Histopathology confirmed it as a low grade urothelial carcinoma. Patient voided well after complete transurethral resection. Hence, an urothelial malignancy can have varied presentation, and appropriate histological diagnosis with cross-sectional imaging and regular follow-up with cystoscopy is mandatory.
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