Snapshot A 65-year-old man presents to his primary care physician after noticing blood in his urine. He reports that his urinary stream is normal but notices blood at the end of urination. He denies any abdominal pain, dysuria, or urinary frequency or urgency. Medical history is unremarkable. He smokes 1 pack of cigarettes daily for the past 35 years. Physical examination is unremarkable. 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 Risk factors login to view 7 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 Cystoscopy login to view 2 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