Overview
Metastatic malignant neoplasm to the urethra is a rare condition where cancer originating elsewhere in the body spreads to the urethra. This can lead to various symptoms depending on the location and extent of the metastasis.Diagnosis
Management
Transurethral resection of the prostate (TURP) is a surgical procedure that can be used to manage symptoms associated with urethral obstruction, though it is primarily indicated for benign prostatic hyperplasia 1.
TURP has demonstrated significant improvements in International Prostate Symptom Score (IPSS), peak flow (Qmax), and postvoid residual urine (PVR) 1.
Complication rates for TURP are generally low, including TURP syndrome (2%), bleeding (8%), and need for blood transfusion (6%) 1.
Significant heterogeneity in outcomes, particularly for clot evacuation, has been observed across different geographical regions, suggesting a lack of standardization in TURP procedures 1.Special Populations
Key Recommendations
Transurethral resection of the prostate (TURP) is considered the gold-standard surgical treatment for benign prostatic hyperplasia, offering uniform symptomatic improvements despite variations in worldwide results 1. (Evidence: Strong)References
1 Porto JG, Bhatia AM, Bhat A, Suarez Arbelaez MC, Blachman-Braun R, Shah K et al.. Transurethral resection of the prostate across continents: a meta-analysis evaluating quality of gold standard in the twenty-first century. World journal of urology 2025. link