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Advanced Primary Urethral Cancer Presenting as a Perineal Mass in Male

Paramjeet Sangwan, Prakasa Rao Busam

Primary urethral cancer is a rare cancer entity, and the main body of literature consists mainly of case reports, resulting in a limitation in clinicians' experience. Our patient was diagnosed with primary urethral cancer by cystoscopy and biopsy. He underwent total penectomy with B/L Orchiectomy with excision of perineal mass and adjuvant radiotherapy. Due to its rarity and lack of literature, there are no definite guidelines for managing primary urethral cancer. Surgical methods and postoperative adjuvant treatments vary in different hospitals, leading to diverse outcomes. We aimed to report an interesting PUC case managed by our department and provide a review of the available literature.