Solitary Prostatic Urethral Carcinoma: Cryptic cause of Acute Urinary Retention PD11-PD12
Department of Urology, Institue of Nephrourology, Victoria Hospital Campus, K R Market, Bengaluru, Karnataka, India.
Acute Urinary Retention (AUR) caused by urological malignancy is a rare event, even in elderly. A solitary prostatic urethral Transitional Cell Carcinoma (TCC) causing retention of urine is even rarer. Hereby, a case of 60-year-old non-smoker, with sudden onset of AUR was reported. Detailed clinical examination, biochemical and radiological investigations were not conclusive. Cystoscopy revealed a solitary papillary prostatic urethral growth projecting from base probably causing urinary retention. Histopathology confirmed it as a low grade urothelial carcinoma. Patient voided well after complete transurethral resection. Hence, an urothelial malignancy can have varied presentation, and appropriate histological diagnosis with cross-sectional imaging and regular follow-up with cystoscopy is mandatory.