A 61-year-old man presented to our department with symptoms of gross hematuria and intermittent right pelvic pain. He had a past medical history of arterial hypertension, psoriasis, an annealed lung Tbc, and a smoking history of 60 pack years. Urine analysis showed microscopic hematuria. Biochemical data were within normal limits. Ultrasound and cystoscopy were normal. Intravenous urography (IVU) demonstrated a tubular filling defect with partial obstruction of the right mid ureter. Retrograde ureteropyelography confirmed a 5 cm long tubular mass in the mid ureter proximal to the iliac vessels (Figure 1). Further investigation was done by flexible ureteroscopy showing a pediculated tumor of the ureter with a vulnerable surface (Figure 2). Urine cytology and biopsy of the tumor and the renal pelvis were taken. A pigtail catheter was inserted. Results of urine cytology and the biopsy were negative for malignancy. A staging CT scan was performed which showed a nonspecific slight dilatation of the right renal pelvis and a small thickening of the right ureter without evidence of metastasis or lymphadenopathy (Figure 3). Open exploration of the right ureter was performed by a Gibson incision. After palpating the mass above the level of the iliac vessels, an ureterotomy was made. The tumor presented with a small thin basis and a length of 5 cm. Intraoperative frozen section revealed a benign fibroepithelial polyp (UFP) without evidence of malignancy (Figure 4). Segment resection of the ureter was performed followed by a tension-free spatulated end-to-end anastomosis. The patient was discharged from hospital three days postoperatively with a foley catheter in place, which was removed at day 10. The pigtail catheter was removed 5 weeks later.