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+Patient aged 70 years, retired miner, with no known drug allergies, with a personal history: old work accident with vertebral and rib fractures; operated on for Dupuytren's disease in the right hand and left iliofemoral by-pass; Diabetes Mellitus type II, hypercholesterolemia and hyperuricaemia; active alcoholism, smoker of 20 cigarettes/day.
+He was referred from primary care because he presented postvoid macroscopic haematuria on one occasion and persistent microhaematuria afterwards, with normal micturition.
+Physical examination showed a good general condition, with normal abdomen and genitalia; rectal examination was compatible with grade I/IV prostate adenoma.
+Urinalysis showed 4 red blood cells/field and 0-5 leukocytes/field; the rest of the sediment was normal.
+Normal haemogram; biochemistry showed glycaemia of 169 mg/dl and triglycerides of 456 mg/dl; liver and kidney function was normal. PSA of 1.16 ng/ml.
+Urine cytology was repeatedly suspicious for malignancy.
+Simple abdominal X-ray shows degenerative changes in the lumbar spine and vascular calcifications in both hypochondrium and pelvis.
+Urological ultrasound revealed the existence of simple cortical cysts in the right kidney, bladder without alterations with good capacity and prostate weighing 30g.
+The IVUS showed bilateral renal normofunctionalism, calcifications on the right renal silhouette and arthrosed ureters with addition images in the upper third of both ureters, related to ureteral pseudodiverticulosis. The cystogram shows a bladder with good capacity, but trabeculated walls in relation to stress bladder. Abdominal CT scan is normal.
+
+Cystoscopy revealed the existence of small bladder tumours, and transurethral resection was performed with the anatomopathological result of superficial urothelial carcinoma of the bladder.
+