Urethral cancer is a diagnostic and therapeutic challenge because of its rarity. The signs and symptoms of urethral cancer vary and are neither diagnostic nor pathognomonic. The onset is generally insidious and symptoms are usually more attributable to benign stricture disease rather than malignancy. The interval between the onset of symptoms and diagnosis may be as long as 3 years because of misdiagnoses and failure by the patient to seek medical attention. These tumors have a propensity to be highly advanced locally at the time of diagnosis and a raised index of suspicion is advisable... 
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