Post TURBT Discovery of Urachal Remnant in 62-year-old Man

A 62-year-old male with a past medical history of cigarette smoking and laparoscopic repair of bilateral inguinal hernias using total extraperitoneal (TEP) mesh presented with persistent dysuria and perineal pain. Urine culture was negative, and he was treated with an extended course of antibiotics for a working diagnosis of prostatitis. His urinary symptoms improved but he returned with gross hematuria a few months later. CT Urogram was concerning for a bladder tumor, with soft tissue thickening from the dome of the bladder extending to the abdominal wall and left inguinal region.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research