Abstract :
Primary urethral carcinoma in males is responsible for less than 1% of their malignant diseases.( 1) Approximately 50% to 75% of these lesions are originated from posterior urethra (prostatic, membranous, and bulbar urethra), anterior urethra, and mostly from meatus and fossa vanicularis.(2) In males, if the tumor remainders originate from anterior urethra, the most common symptom will be difficult urination and nodule sensation. In more advanced stages signs would be urinary obstruction or incontinence secondary to bladder overflow. Hematuria, purulent discharges, decrease in caliber and urinary pressure, straining during urination, dysuria, abscess around urethra, and fistula formation are also seen.(2) In large lesions of anterior urethra, a mass on the ventral surface of penis may be palpable.(2) Painful ejaculation, priapism, penile ulcer, and sexual dysfunction could be the causes of referral. Size of penis could be increased due to tumor, indurations, and edema. Loss of appetite, weight loss, and malaise are later complaints of the disease secondary to chronic infection.
