A 54-year old white woman, without significant past medical history other than menopause since 2years ago presented with post coital hematuria and also she had urinary tract infections (UTIs), documented by urine cultures (Proteus Mirabillis). No other associated symptoms. She received antibiotic therapy with quinolones. The urine cytology was negative. The assessment by the Gynecology service was normal. The renal ultrasound (US) Each kidney was normal, preserved cortico medullary differentiation and without dilated collecting systems. There was irregularity zone in the mucosa close to bladder neck, measuring 1x0.5cm. Cystoscopy revealed an edematous and erythematosus lesion of 1x1.5cm in the posterior wall of the bladder neck that extended into the urethra. In pelvic magnetic resonance imaging (MRI) a pelvic mass was evident measuring 35x38x47mm, widening the bladder neck at this level, nonspecific inguinal adenopathies and a left iliac node with malignancy aspect.