Volume 19, Number 1Case ReviewPerineal Urethrostomy: Still Essential in the Armamentarium for Transurethral SurgeryDimitri PapagiannopoulosLeslie A DeaneA 69-year-old morbidly obese man presented with hematuria caused by a large anterior wall bladder tumor. The mass was inaccessible for resection by standard means due to the patient’s obesity and phallic length. A perineal urethrostomy was required to enable complete resection. This age-old technique is revisited for the benefit of this generation’s urologists. [Rev Urol. 2017;19(1):72-75 doi: 10.3909/riu0742] © 2017 MedReviews®, LLCBladder tumorsTransurethral resectionPerineal urethrostomy