TL;DR: Urethrectomy to include a fossa navicularis and glandular meatus at the time of cystectomy seems justified as a definitive means of guarding against the often asymptomatic and potentially lethal urethral occurrences of transitional cell carcinoma.
TL;DR: Organ-sparing surgery is appropriate in selected patients on the basis of stage and location, high risk of distant failure, and patient disposition.
TL;DR: The clinical and morphologic features in 29 cases of primary carcinoma of the female urethra were reviewed and the results sufficiently satisfactory to warrant the continued use of radiotherapy in early-stage lesions, as well as in selected patients who have infiltrating carcinoma.
TL;DR: It is concluded that irrespective of whether the bladder contains a solitary or multifocal tumour, complete cysto-urethrectomy should be considered as the treatment of choice whenever cystectomy for attempted cure is indicated.
Abstract: Summary— Sixty-five patients had a cystectomy for a solitary bladder tumour (28) or multifocal lesions (37). The histological extent of the disease within the bladder was correlated with mucosal abnormalities within the urethra. The presence of multifocal or solitary bladder disease was not an accurate predictor of the presence or absence of urethral dysplasia. Details of mortality and morbidity associated with one-stage cystourethrectomy are presented and it is concluded that irrespective of whether the bladder contains a solitary or multifocal tumour, complete cystourethrectomy should be considered as the treatment of choice whenever cystectomy for attempted cure is indicated.
TL;DR: Retubularization of a previously used bowel segment from ECP or CUD to form a urinary conduit seems to be an acceptable alternative in patients with IC.