we recommend the following indications for urethrectomy : 1 ) en bloc cystourethrectomy for clinically overt involvement of the anterior urethra with carcinoma or tumor extending into the prostatic urethra , 2 ) immediate or delayed total urethrectomy either during the initial hospitalization or within 2 months of cystectomy for all patients with pathological evidence of invasion of the prostate ( p4 ) or carcinoma in situ of the prostatic urethra , 3 ) indefinite close followup of all patients whose bladder specimens demonstrate carcinoma in situ ( urethral cytology within 4 months of cystectomy and every year thereafter , and immediate total urethrectomy for any urethral cytology positive for malignant cells ) , and 4 ) immediate total urethrectomy for any patient experiencing bloody urethral discharge .
C0346280
carcinoma in situ of the
C0334227
malignant cells