Urethral recurrence in a woman after continent orthotopic urinary diversion for bladder cancer.

We describe a 55-year-old woman with a urethral recurrence of transitional cell carcinoma of her bladder 4 years after she underwent radical cystectomy with negative margins and no evidence of invasion of the bladder neck, anterior vaginal wall, or proximal urethra. This was the first urethral recurrence in an appropriately selected female patient at our institution. This report emphasizes the need for long-term follow-up in patients after radical cystectomy and the need for guidelines for appropriate selection of female patients for continent orthotopic urinary diversion.