What is the best treatment for urethral cancer?

Hi doctor,

My father, who is 66 years now, had gone through a urethral stricture surgery 8 years ago. The treatment was done for his chronic problem of passing urine. Treatment by the doctor that time ended up in adopting an alternate route for passing urine, which is below the testicles. All was fine for six years and he could pass urine properly only via new exit route that is below the testicles. But, two months ago, he discovered a wound (peri-uretheral) near the place of new exit. For this doctors again did a surgery and recommended a biopsy as well. The biopsy done has concluded into a well differentiated SCC. The details of the biopsy report are attached here. What does the biopsy say? What kind of treatment option is available for his given urological history? Kindly help us.

Hi doctor,

Thanks a lot for your kind suggestion. My father's health seems to be fine. Last week, we took the consultation for further investigation. He suggested, CT scan of pelvis and abdomen, blood tests, ECG, x-ray and verification of biopsy. He did hint us for a major surgery and we are awaiting reports. He also said that the treatment could be possible here. In our next consultation we are asked to visit again when he get back all the reports from all departments. How they will know the stage of cancer, its gravity and extent? What is the survival chance in this case? What is the after effect or impact of the surgery? Will it be recurring? What consultation would be required again?

Hi doctor,

Many thanks for your suggestion.

Hi Doctor, As you told me based on biopsy report , "you father has urethral carcinoma for which surgery is the best modality of treatment" I am attaching you the CT Scan report at CMC Vellore done here on yesterday as well and would like to understand the severity of this cancer/how much it has affected other organs at the moment. My CMC Doctor appointment is on coming Friday. Please find the report attached and please pass on your suggestions to me. Waiting for your quick response.

Hi Dr, Thanks for your response this is really helpful. Also, during the conversation with CMC vellore doctor, he did also mention that the surgery and post surgical procedures could be time taking here (may span few months). He did suggest, you could also take opinion from private hospitals for faster treatment. Q1. Are there any hospitals that you would recommend where we could get this surgery done as soon as possible ? Since I am based in bangalore, one option I see is HCG hospital. Q2. Would you have suggestion for reasonable private hospitals as well ?