Isolated anterior urethral recurrence of prostatic adenocarcinoma


  • Darren Beiko Queen's University
  • Khaled Zaza Queen's University
  • Kevin V. Power Queensway Carleton Hospital
  • D. Robert Siemens Queen's University
  • Alexander H. Boag Queen's University



adenocarcinoma, prostate, metastasis, recurrence, anterior urethra


Isolated anterior urethral metastases from prostate cancer are rare. The pathogenesis of this form of loco-regional recurrence may be related to spread by instrumentation-induced implantation and could potentially then be associated with a better prognosis than metastatic disease secondary to a more malignant phenotype. We report a case of a 68-year-old man with high-risk prostate cancer, diagnosed at transurethral resection of prostate, who was originally treated with combination external beam radiotherapy and hormonal therapy. He re-presented 4 years after his original diagnosis with recurrent gross hematuria and cystourethroscopic biopsies of anterior urethral polyps revealing isolated recurrent prostatic adenocarcinoma. We present our this case and review the literature.


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Author Biography

Darren Beiko, Queen's University

Associate Professor, Department of Urology, Queen's University




How to Cite

Beiko, D., Zaza, K., Power, K. V., Siemens, D. R., & Boag, A. H. (2014). Isolated anterior urethral recurrence of prostatic adenocarcinoma. Canadian Urological Association Journal, 8(5-6), e361–3.



Case Report