Seems like the direction should be to change the surgical standards to suggest to surgeons that they minimize urethral resection as much as possible and additionally consider utilizing methods of urethral reconstruction (such as grafts from either genital and extragenital skin flaps, and peritoneal grafts or an acellular tubular matrix seeded with epidermal cells) when higher levels of urethral resection are deemed to be required.
But hey, that's just me.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...