The suspicion and diagnosis of urothelial neoplasm are considered a rare commodity in the pediatric age group presenting with hematuria. A 10 years old patient presented to out-patient department with lower pain abdomen and hematuria for 2 months. Routine examination and ultrasonography, followed by urethrocystoscopy, revealed a solitary intravesical lesion in close approximation to the right ureteric orifice. Patient underwent transurethral resection of the bladder mass with histopathology confirming urothelial papilloma. This benign tumour is extremely rare in childhood with much to decipher of its etiology and further management.

Reservoir pouch calculi are the most common complication following continent urinary diversion. The presence of calculi in the neobladder can be silent or provoke flank pain, hematuria, and urinary tract infections. Minimal invasive interventions like endoscopic or percutaneous retrieval in smaller calculi to open surgical approaches in large calculi is some of the treatment modalities. Here we present a 34-year-old patient who is a known case of exstrophy-epispadias complex, underwent bladder closure at one year of age and continent cutaneous urinary diversion (Modified Indiana pouch) 26 years ago. Plain and contrast computerized tomography showed multiple large calculi six in number, inside the pouch. In this case, the calculi were successfully managed through an open surgical approach.