Our study was conducted on 55 patients having pathologic diagnosis of bilharzial cancer bladder either by transurethral biopsies of the tumor or resection (TURT) or by cystectomy specimens. The data collected including age, sex, pathological patterns, grades, stages. Other data collected including age, sex, pathological patterns, grades, stages, from previous literatures.The obtained data were analyzed, submitted to statistical analysis using computer package SPSS and the SAS system. Our study revealed that the mean age of our patients was found to be (58.250 + 8.628 in males and 63.636 + 2.335 in females) that were much higher than that reported in previous series (46 years) in El-Bolkainy et al. (1972). Males to females ratio was less than that reported in same series. Pathological patterns and pathological types are shifted toward papillary and transitional respectively with decreasing incidence of nodular patterns and squamous cell carcinoma types.