The Clinical Presentation of Male Urethral Cancer

The diagnosis of early urethral cancer is difficult and the presentation is often delayed by which time the tumor is obvious. Urethral bleeding, urethral discharge, and hematuria are common presenting symptoms as are urinary frequency and obstructive voiding symptoms (Table 8.5). Recurrent urethral strictures, penile pain, and even a palpable mass in the penile urethra may also be a presenting feature. In the later stages periurethral abscesses, urethrocutaneous fistulae, and incontinence may also occur.

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