Sawkar Vijay Pramod, Ferry Safriadi, Bethy S Hernowo, Tri Sunu Agung Nugroho
Introduction: Primary tumor of the urethra in male is a rare case, occurred <1% of urologic malignancies and occurs more often in female. Material and Methods: We reported a case of carcinoma insitu of the external urethral meatus on 27 years old male who had mass excision and fulguration. Results: Patient 27 years old male came with chief complaint painless bloody urine, that came out at the beginning of urinate since 1 month before admission. There were no history of passing stone or palpable lump at penile. On physical examination we found a mass at size of 5 mm and 3 mm at the external urethral meatus, it consistency was soft, raw surfaces and painless. There were no inguinal lymphadenopathy, and digital rectal examination within normal limit. On urinalysis examination we found a lot of erythrocytes, while other laboratories finding were within normal limits. Patients had been performed diagnostic urethrocystoscopy, we found a mass at external urethral meatus, while the urethra, prostate, bladder neck, bladder and both ureter’s orifice were no abnormality. we performed mass excision and fulguration and the results of histopathologic examination (P.16.09.2756) dated on 24th September 2016 was carcinoma in situ of the external urethral meatus. At post-operative day 30, patient came without any complaints, spontaneous urination was clear yellowish and on physical examination there was no lesions at the external urethral meatus. Conclusion: Primary urethral tumor in male patients is a very rare case, compromising only less than 1% of total malignancy cases in urology and usually more common in female patients. For lesion which involve more proximal part of anterior urethral, excision of urethral segment, with corpus penis preservation, might be decent enough for superficial tumor.
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