| Patient of 70 years old, retired miner, without known drug allergies, presenting as personal history: old occupational accident with vertebral and costal fractures; intervened of Dupuytren's disease by cigarette smoking in right hand type II | |
| It is derived from Primary Care because it presents macroscopic post-voiding hematuria on one occasion and persistent microhematuria later, with normal voiding. | |
| Physical examination showed a good general condition, with normal abdomen and genitalia; rectal examination compatible with grade I/IV prostate adenoma. | |
| Urine analysis showed 4 leukocytes/field and 0-5 leukocytes/field; rest of normal sediment. | |
| Normal blood count; in biochemistry highlights a blood glucose of 169 mg/dl and triglycerides of 456 mg/dl; normal liver and kidney function. | |
| PSA 1.16 ng/ml. | |
| Urine cytology is repeatedly malignant. | |
| In the simple abdominal plate degenerative changes in the lumbar spine and vascular calcifications in both hypochondria and pelvis are evaluated. | |
| Urological ultrasound shows the existence of simple cortical cysts in the right kidney, bladder without alterations with good capacity and prostate with a weight of 30 g. | |
| Bilateral renal normofunctionalism, calcifications on the right renal silhouette and arrosariated ureters with images of addition in the upper third of both ureters are observed in relation to ureteral pseudolithiasis. | |
| The cystogram showed a bladder with good capacity, but trabeculated walls in relation to stress bladder. | |
| Abdominal CT is normal. | |
| 1. | |
| Cystoscopy revealed the existence of small bladder tumors, performing transurethral resection with the anatomopathological result of superficial urothelial carcinoma of the bladder. | |