Conclusion

Male urethral cancer is a rare tumor where the survival is dependent upon the anatomical location as much as it is on the traditional parameters of staging and grading of histological and cytological architecture. Due to the rarity of this malignancy, large scale clinical trials have yet to be established and the management is based on a case by case approach.

For early stage disease, surgery alone, offers both local control and a better disease-free survival. In the modern era, armed with the knowledge of adequate surgical margins, organ- preserving and reconstructive techniques, surgery need not be the extensive and disfiguring option it once was.

For advanced disease a multimodality approach using neoadjuvant chemotherapy and radiotherapy in combination with a surgical resection appears to offer the best treatment option.

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