Recurrent Perineal Urethral Squamous Cell Carcinoma Multidisciplinary Approach.
Mahmoud Farzat, Ibrahim Al-Taie, Victoria Meyer et al.
✦ AI-curated · Sources linked
Case in brief
A 56-year-old male with a history of urethral squamous cell carcinoma presented with perineal recurrence after radical penectomy. Initial attempts at resection revealed positive surgical margins, leading to a multidisciplinary approach that included robot-assisted radical cystoprostatovesicourethrectomy and en bloc tumor excision. Histopathology confirmed complete resection, and a gracilis muscle flap was used to close the perineal defect. The patient had an uneventful 5-year follow-up.
Diagnostic / clinical pearl
This case illustrates the complexity of managing perineal recurrence of urethral squamous cell carcinoma and the necessity of a multidisciplinary approach for optimal outcomes.
Why it matters
The integration of robotic techniques in complex surgical procedures can enhance recovery and functional outcomes, emphasizing the evolving role of minimally invasive surgery in oncological care.