Paragangliomas of the urinary bladder constitute a small part of all bladder tumors. Faced with a wide variety of presenting symptoms, they propose a diagnostic dilemma and lack of a definite preoperative diagnosis may result in inadequate pre-operative preparation with disastrous consequences. We present a case of urinary bladder paraganglioma wherein we were able to achieve definite diagnosis after a cystoscopy guided biopsy of the lesion. This enabled us to adequately prepare the patient for a laparoscopic partial cystectomy. The patient was discharged after an uneventful post operative course.
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