[Urethral recurrence and distant metastases of bladder cancer 9 years after cystectomy and neobladder].

We report a 79-year-old female with urethral recurrence and distant metastases of urothelial bladder cancer. She had undergone urethra-sparing cystectomy and orthotopic ileal neobladder at 70 years of age. Chemotherapy was not performed and the patient died 5 months later. We concluded that long-term follow-up for urethral recurrence in women with neobladders was necessary.