Distant ureteric metastasis of prostate cancer four years post radical prostatectomy

We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further...

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Main Authors: Sachin J. Joshi, William J. Yaxley, Devang J. Desai
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025000208
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author Sachin J. Joshi
William J. Yaxley
Devang J. Desai
author_facet Sachin J. Joshi
William J. Yaxley
Devang J. Desai
author_sort Sachin J. Joshi
collection DOAJ
description We describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.This case highlights the diagnostic challenges and management strategies for ureteric metastasis of prostate cancer and contributes to the limited body of literature on such cases.
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series Urology Case Reports
spelling doaj-art-3876f8a8d28b4ab9a3e6ec29414d2fb82025-08-20T02:58:50ZengElsevierUrology Case Reports2214-44202025-03-015910294910.1016/j.eucr.2025.102949Distant ureteric metastasis of prostate cancer four years post radical prostatectomySachin J. Joshi0William J. Yaxley1Devang J. Desai2St Vincent's Hospital Toowoomba, 22-36 Scott St, Toowoomba City, QLD, 4350, Australia; University of Queensland, Toowoomba Regional Clinical Unit, 152 West St, South Toowoomba, QLD, 4350, Australia; Corresponding author. University of Queensland, Toowoomba Regional Clinical Unit, 152 West St, South Toowoomba, QLD, 4350, AustraliaSt Vincent's Hospital Toowoomba, 22-36 Scott St, Toowoomba City, QLD, 4350, AustraliaSt Vincent's Hospital Toowoomba, 22-36 Scott St, Toowoomba City, QLD, 4350, Australia; University of Queensland, Toowoomba Regional Clinical Unit, 152 West St, South Toowoomba, QLD, 4350, Australia; University of Southern Queensland, UniSQ Toowoomba, 487-535 West St, Darling Heights QLD, 4350, Australia; Griffith University, 170 Kessels Road, Nathan, QLD, 4111, AustraliaWe describe a case of a 78-year-old male with a history of Gleason score 9 prostate cancer treated with a robotic-assisted radical prostatectomy, who developed symptoms of right ureteric obstruction four years later.Diagnostic evaluation revealed right sided hydroureteronephrosis on imaging. Further correlation with prostate specific antigen (PSA) and histopathology from a distal ureterectomy with reimplantation revealed metastatic prostate cancer as the cause of obstruction with incidental focal carcinoma in situ (CIS) also identified.This case highlights the diagnostic challenges and management strategies for ureteric metastasis of prostate cancer and contributes to the limited body of literature on such cases.http://www.sciencedirect.com/science/article/pii/S2214442025000208UreterMetastasisProstate cancerSurgeryHormone therapyChemotherapy
spellingShingle Sachin J. Joshi
William J. Yaxley
Devang J. Desai
Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
Urology Case Reports
Ureter
Metastasis
Prostate cancer
Surgery
Hormone therapy
Chemotherapy
title Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
title_full Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
title_fullStr Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
title_full_unstemmed Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
title_short Distant ureteric metastasis of prostate cancer four years post radical prostatectomy
title_sort distant ureteric metastasis of prostate cancer four years post radical prostatectomy
topic Ureter
Metastasis
Prostate cancer
Surgery
Hormone therapy
Chemotherapy
url http://www.sciencedirect.com/science/article/pii/S2214442025000208
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AT williamjyaxley distanturetericmetastasisofprostatecancerfouryearspostradicalprostatectomy
AT devangjdesai distanturetericmetastasisofprostatecancerfouryearspostradicalprostatectomy