- Celsus Undie1, Kenechi Nedosa2, Adeyemi Akano3, Precious Adeyemi4, Ema Umobong5, Collins Bamnan6
- 1,2,3,4 Kelina Hospital, Abuja, Nigeria. 5,6Histoconsult Laboratory Limited, Abuja Nigeria.
Prostate cancer extending to the penile urethra is not a common occurrence. While prostate cancer is a relatively common condition, its spread to the penile urethra can sometimes be overlooked or misinterpreted. We present a 72-year-old diabetic and hypertensive gentleman that we saw in our hospital, who was initially diagnosed elsewhere of enlarged prostate and had surgery done due to retention of urine, but re-presented in the same hospital for a repeat surgery, also for retention of urine. He was finally found to have prostate cancer following histological assessment of prostate tissue removed from him. He came to us due to concerns over persistent rise in PSA and episodes of acute retention of urine necessitating urethral catheterization. He presented to us on an indwelling Foley’s catheter. Urethrocystoscopy was done to determine the cause of recurrent acute retention of urine, and urethral tumor was found, extending from the bladder neck into the distal urethra, causing bladder outlet obstruction. This case underscores the diagnostic challenge of bladder outlet obstruction in patients with enlarged prostate, and the importance of urethrocystoscopy in all patients who require surgery in the lower urinary tract, especially where there are no urethral strictures or stones. This helps to avoid misdiagnosis of the aetiology of bladder outlet obstruction, as not all cases are due to the enlarged prostate, even if enlarged prostate was found on digital rectal or radiological examination.
