His metastatic work up was normal.He had no comorbidities except diabetes.He was taken up for Trans-urethral Bladder Biopsy which revealed Papillary Urothelial Neoplasm of Low Malignant Potential .As the growth was endoscopically unresectable there was high chance of muscle invasive element;the patient was counselled and taken up for Radical cystectomy and bilateral iliac lympahdenectomy and ileal conduit.The uretero-ileal anastomosis was done with Wallace technique.
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