We report the case of a 41-year-old pregnant female who presented with a complicated urinary tract infection. Further imaging revealed left hydronephrosis and filling defects extending from the proximal ureter to the upper pole of the kidney. with the presumed diagnosis of a fibroepithelial polyp. The patient underwent a four-stage percutaneous and ureteroscopic ablation and resection. https://www.rawafricaonline.com/