With Bladder Tumors, Size Isn't Everything

A 45-year-old otherwise healthy male presented to an emergency department with urinary retention. Gross hematuria was demonstrated upon insertion of a Foley catheter. Upon questioning, the man reported that he had intermittent gross hematuria for at least four years.

Cross-sectional imaging demonstrated multifocal large tumors filling nearly the entire bladder lumen, with findings confirmed by cystoscopic examination.