HISTORY:

A male in his 20’s presented with a preop diagnosis of anuria, and a history of ESRD, kidney transplant failure, hypertension, posterior urethral valves, stomach ulcer, internal hemorrhoids, and GI bleed.

Cysturethroscopy revealed dilated posterior urethra with diffuse frondlar lesions in proximal urethra and bladder suggestive of cystitis cystica. Site was biopsied with cold cup biopsy forceps and fulgrated with Bugnee electrode.

A 0.4x0.3x0.2cm tan-pink soft tissue labeled “prostatic urethra biopsy” was grossed.