https://www.selleckchem.com/products/ldc195943-imt1.html A 90-year old man with no significant past medical history presented to urology clinic complaining of gross hematuria, urinary frequency, and dysuria. Previous urine cytology was atypical but two white-light cystoscopies failed to show any lesions. The patient was taken for intraoperative blue light cystoscopy, which revealed multiple lesions that were then resected. Pathology revealed high grade urothelial carcinoma with lamina propria invasion and the patient was managed successfully with Bacille Calmette Guerin therapy. This case highlights an important role for blue light cystoscopy in diagnosing patients with high suspicion for malignancy but negative white light cystoscopy. Intrauterine devices(IUD) are used by women worldwide as the most conventional method of reversible contraception. Migration of an IUD to pelvic or abdominal organs is considered rare. We report a case of a 67 year old female who had neglected to remove her IUD for 20 years. She visited our clinic because of recurrent UTI's the previous year. After assessment and clinical investigation it was found that the coil had a late onset migration to the urinary bladder, with calculus formation, causing the patients' symptoms. In our case we cystoscopically removed the encrusted coil after performing endoscopic cystolitholapaxy. The patient had an uneventful recovery and her UTI's subsided. The objective of this article is to report the first case of intravesical IUD migration at our clinic and raise awareness of forgotten contraceptive devices and their potential complications. Anterior urethral valves are a rare cause of obstructed voiding in adolescent children and are often unheard by adult urologists. In this case report, we discuss the management of two adolescent patients who were referred to us with obstructive voiding symptoms with a diagnosis of neurogenic bladder and posterior urethral valves respectively but on evaluation were foun