© 2013 Canadian Urological Association

Candida albicans is a fungus that can cause opportunistic urinary tract infections in immunocompromised patients. Disseminated fungaemia secondary to Candida albicans is associated with con-siderable mortality and therefore merits aggressive treatment. Diagnostic investigations for urosepsis and disseminated fungae-maia secondary to Candida albicans include positive urine and blood cultures. Herein, we describe an extremely unusual case of disseminated fungaemia associated with an obstructive fungus-ball in the distal ureter of an immunosuppressed patient. We also describe a novel application of an established endourological tech-nique for managing this clinical scenario and discuss appropriate perioperative management strategies