{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:05Z","timestamp":1756363205635,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,8]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>A man in his 70s presented to the emergency department with acute urinary retention following a 2-day history of gross haematuria with blood clots. He had a significant medical history of intermediate-risk prostate adenocarcinoma (grade group 2, prostate-specific antigen (PSA) 14.9\u2009ng\/mL) for which he underwent a robotic-assisted laparoscopic radical prostatectomy (RARP) 13 years ago. PSA nadir was achieved (&lt;0.03\u2009ng\/mL). Three years after RARP, he had biochemical recurrence with PSA rising to 0.06\u2009ng\/mL. Salvage radiotherapy was performed with good PSA response back to nadir. Workup for gross haematuria included a flexible cystoscopy which revealed a lobulated fleshy lesion occupying the mid-penile urethra. Staging imaging showed no local recurrence at prostatectomy site or lymphadenopathy. PSA was 4.2\u2009ng\/mL. Surgical resection with primary repair of the urethra was performed. Postoperative recovery was good with PSA achieving nadir. Histology revealed an upgraded metastatic prostate adenocarcinoma, grade group 5.<\/jats:p>","DOI":"10.1136\/bcr-2022-250200","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T14:01:41Z","timestamp":1663768901000},"page":"e250200","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Primary resection of oligometastatic recurrent prostatic carcinoma in the urethra"],"prefix":"10.1136","volume":"15","author":[{"given":"Malia Alexandra","family":"Foo","sequence":"first","affiliation":[{"name":"National University Singapore Yong Loo Lin School of Medicine, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5242-0651","authenticated-orcid":false,"given":"Ee Jean","family":"Lim","sequence":"additional","affiliation":[{"name":"Urology, Singapore General Hospital, 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