Volume 14, Number 3Case ReviewTwo Separate Synchronous Primary Genitourinary TumorsMatthew T SmithFrederick D TaylorWilliam P GianakopoulusRoy R BrownA 54-year-old man presented to the office with gross painless hematuria, dysuria, and urinary frequency. He was diagnosed with renal cell carcinoma of the kidney and transitional cell carcinoma of the bladder. The article reviews the presentation, radiology, pathology, and intervention of an uncommon case of synchronous primary carcinomas, and aims to show the importance of continued clinical suspicion for multiple genitourinary primary neoplasms. [Rev Urol. 2012;14(3/4):104-107 doi: 10.3909/riu0555] © 2013 MedReviews®, LLCHematuriaGenitourinary tumorDysuriaNeoplasmUrinary frequency