Abstract
We report a case of a 57‐year‐old male with extensive pelvic scarring from childhood burns who presented with gross hematuria and was diagnosed with high‐grade pT1 urothelial carcinoma. Due to severe anatomical restrictions, traditional transurethral resection of bladder tumors (TURBT) was not feasible. A temporary perineal urethrostomy (PU) was performed to enable complete tumor resection. This is the first reported case of temporary PU facilitating TURBT in a patient with severe burn‐related pelvic scarring, highlighting its role as a safe and effective alternative when standard endoscopic approaches are not possible.