Answer 1 Tumor of the bladder neck. This patient’s smoking history and the timing of hematuria at the end of urination make tumor of the bladder neck the likely diagnosis. In men, hematuria at the end of urination suggests a problem with the bladder neck, posterior urethra, or prostatic urethra. Nephrolithiasis would likely be associated with pain. Without a family history of renal failure, polycystic kidney disease is unlikely. Thin basement membrane disease would present with persistent hematuria. Click here to return to the questions

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