Schistosomiasis is a chronic, parasitic disease caused by the blood flukes (trematode worms) of the genus Schistosoma. There are two major forms of schistosomiasis, intestinal and urogenital. The blood fluke Schistosoma haematobium causes urogenital schistosomiasis, with its highest prevalence in Africa and the Middle East. Given the emerging migrant populations in Australia, from the Africa and Middle East, urogenital schistosomiasis needs to be given consideration in differential diagnosis of patients with renal colic, cystitis, haematuria and urinary tract stricture/ obstruction. Travel history is also pertinent to diagnosis. The burden of schistosomiasis in the developing world is remarkably high, with 243 million people requiring treatment in 2011. With the increase of migrant populations to Australia, the burden of disease and its implications need to be acknowledged in the developed world. (Figures 1 and 2).The patient underwent cystoscopy, left retrograde pyleogram and ureteroscopy revealing a heavily calcified ureteric wall with biopsies revealing oval, heavily calcified, well circumscribed structures characteristic of calcified schistosoma eggs under the glandular mucosa. On further investigation, the patient had a urine specimen sent externally in 2007 for investigation of macroscopic haematuria, which indicated the presence of Schistosoma haematobium of moderate severity. The patient was subsequently lost for follow up. They are now under the management of an infectious disease unit, receiving active treatment with praziquantel and are currently well.