Objective: evaluate the treatment and prognosis of the bladder mass in young patients less than 20 years old Patients and methods: twenty patients with bladder tumors (papilloma and transitional cell carcinoma)18 male and 2 female underwent this study from 2001-2011 all evaluated by abdominal ultrasound and cystoscopy. Results: the age of the patients between 18 months to 20 years, 18 male and 2 female. Hematuria is presenting symptoms in 15 patients, lower abdominal pain in 3 patients and irritative voiding symptoms in 2 patients. Histopathology was papilloma in one patient transitional cell carcinoma grade I in 16 patients, grade II in 2 patients and grade III in one patient. All patients treated by TUR of the tumor except 2 patients treated by open excision and fulguration and one patient by total cystectomy. Follow up period between 6 months to 10 years, mortality reported in one patient only. Conclusion: the bladder tumor in young patient carry good prognosis with low grade and stage at time of presentatio
