Snapshot A 55-year-old man presents to the emergency department with painless hematuria. He denies any trauma to the abdomen or pelvis, as well as any signs of fevers or chills. He denies any dysuria, urinary urgency, or frequency. He has not started any new diets. He smokes 1 pack of cigarettes daily for the past 35 years. Physical examination is not notable for any abdominal masses or tenderness to palpation. Urinalysis demonstrates a large red blood cell count with normal red blood cell morphology. He eventually undergoes cystoscopy, which demonstrates a protruding mass from the bladder wall. Introduction Overview login to view 3 more bullets Epidemiology login to view 8 more bullets Presentation Symptoms login to view 6 more bullets Imaging Cystoscopy login to view 4 more bullets CT of the abdomen and pelvis login to view 2 more bullets Studies Urinalysis login to view 4 more bullets Urine cytology login to view 2 more bullets Differential Prostate cancer login to view 3 more bullets Treatment Surgical login to view 4 more bullets Complications Urinary obstruction Surgical complications login to view 3 more bullets