The patient underwent anterior exenteration with urethrectomy
, bilateral pelvic lymphadenectomy and bilateral ureterocutaneostomy (Figure 2).
The surgery consisted of radical cystectomy total abdominal hysterectomy, bilateral salpingo-oophorectomy, partial vaginectomy pelvic lymphadenectomy intracorporeal ileal conduit creation, bilateral urethral stent placement, and urethrectomy
performed by robotic laparoscopy (Da Vinci Intutive Surgical system USA) in our institution.
required total urethrectomy
to effectively treat the patient .
Surgery can be performed either as partial urethrectomy
or as a radical urethrectomy
depending on the size and location of the tumor .
We conducted radical cystectomy and urethrectomy
with combined resection of the uterus and vagina.
Several region-related discrepancies were also found for some core or potentially core procedures, including laparoscopic adrenalectomy, laparoscopic pyeloplasty, pediatric hernia repair, laparoscopic partial nephrectomy, ESWL, perineal urethrostomy, radical urethrectomy
, open adrenalectomy, female mid-urethral sling, varicocelectomy, and transrectal ultrasound (TRUS) biopsy (Table 5).
The urological service initiated the operation using a DaVinci robot to accomplish a radical cystectomy, hysterectomy, and urethrectomy
. After robotic dissection of the bladder to the urethra, the posterior aspect of the vagina was entered using the monopolar shears in a cut fashion.
Though some patients were treated with radical surgeries like cysto-prostectomy with bilateral pelvic lymphadenectomy with total urethrectomy
the survival of the patient were between 15 to 40 months (11).
In the second decade, rail-road, dilatation and direct visual internal urethrectomy
were the mainstay, but in the last 5 years, urethroplasty replaced the old methods.
Treatment has moved towards anterior exenteration with total urethrectomy
, similar to the therapy for invasive bladder cancer in a female, to decrease local recurrence.
Urethra: Partial or Total Urethrectomy
, Cystectomy, Cystoprostatectomy, Anterior Exenteration
Nine patients were excluded from the study-3 with a history of previous hysterectomy and bilateral salpingo-oophorectomy for benign causes, 2 with an orthotopic neobladder urinary diversion without urethrectomy
and vaginal wall excision, and 4 with non-transitional cell cancers (2 carcinosarcoma, 2 squamous cell carcinoma)-as the aim of the study was to determine the status of all genital organs in patients with transitional cell carcinoma (TCC).