Upper tract urothelial carcinoma presenting at a bifurcation of a partially duplicated left ureter: A minimally invasive approach

Urothelial carcinoma is the fourth most common solid organ malignancy. Rare cases arise from the upper urinary tract. A 78-year-old male presents with a chief complaint of hematuria, burning, urinary incontinence, and passing clots. The patient appeared to have a partial duplication of the left ureter. During the ureteroscopy, a mass was seen at the bifurcation of the partially duplicated left ureter. The mass in the ureter was classified as a T1 upper tract urothelial carcinoma. Minimally invasive endoscopic approaches were chosen to manage the patient and he presented to the operating room for laser ablation of the UTUC.