What is tx plan in case of - metastassi?

A. Radical cysto-prostatic surgery: (better survival rate), urethral cancer is multifocal, and its recurrence does not always happen in the exact same place, so for the surgical resection, we remove any possible recurrence areas such as the entire bladder and the prostate (urine moves from the bladder towards the prostate). We also remove the seminal vesicles. b. Radical lymph node dissection: the main site is the iliac node and the surrounding nodes (we evaluate and usually perform this dissection even if pet scan is negative) We should perform both