Submitted by colleague Vaios Papadimitriou (Lamia)

• Male patient 65 years old. Smoker for 40 years (40 cigarettes/day). Comes with first episode of macroscopic haematuria
• Laboratory screening and General urine test normal. Urine cytology test negative
• Underwent Cystoscopy (see video)

What is your next intervention?

​Answer:

Nephrouretectomy