Aggressive primary urethral malignancy masquerading as stricture urethra: Unusual presentation of a rare malignancy
DOI:
https://doi.org/10.32677/ijcr.v7i10.3089Keywords:
Bladder outlet obstruction, Stricture urethra, Retrograde urethrogram, Urethral malignancyAbstract
Bladder outlet obstruction in an elderly male patient is most of the time diagnosed as prostatomegaly or stricture urethra unless there is a high index of suspicion for other differential diagnoses. Rare tumors like urethral malignancy may be misdiagnosed due to their varied and delayed mode of presentation. Here, we present a case of a patient who presented with acute urinary retention and was suspected to be a stricture urethra which ultimately turned out to be an aggressive urethral tumor. Investigations such as retrograde urethrogram, ultrasound, or cystoscopy which are the most common diagnostic modalities in a patient with lower urinary tract symptoms may not diagnose urethral tumors. Delayed diagnosis is common in these tumors resulting in a lesser chance for curative treatment. A high index of suspicion with a lesser threshold for investigations like MRI is pivotal for early diagnosis in these patients.
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