PMC6555183_01
Flexible cystoscopy view of bladder tumor.
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Flexible cystoscopy showed a large trigonal and bladder neck tumor >6 cm in size with possible extension to the prostate (Fig. 1).
CT urogram delayed phase. (A) Bilateral hydronephrosis. (B) Dilated bilateral distal ureters. (C) Vesicoureteral junction involvement. (D) Bladder tumor at trigone.
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Endoscopic evaluation postureteral stenting. (A) Right capacious distal ureter. (B) Left ureteritis. (C) Healed bladder resection site. (D) Left proximal ureteritis:ureteroscopic view.
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Left ureteroscopy to the left pelviureteral junction confirmed ureteritis changes seen over the upper and mid ureter, with small soft stones seen, which were removed (Fig. 3).
Intravenous urogram-stable patulous distal ureters with resolution of hydronephrosis.
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Repeat intravenous urogram 3 months later showed contrast hold up with mild dilation of bilateral distal ureters with no hydronephrosis (Fig. 4).