Introduction: Bladder cancer has been one of the most common urological malignancies. As per Indian cancer registry data, it is
ninth most common cancer among men. Debate exists in the literature regarding the clinical behavior of bladder urothelial
neoplasms in younger patients when compared with older patients. In this study, we share our experience with the clinical behavior
of the disease in young adults. Materials and Methods: From August 2017 to Feb 2020, data was retrospectively collected from the
hospital information system on urinary bladder cancer patients. All Patients presented as bladder mass on radiological investigation
underwent transurethral resection of the bladder tumor (TURBT). Pathological grading of the bladder tumour was done by using
new World Health Organization (WHO) and International Society of Urological Pathology (ISUP) Classifications. Results: A total of 27
young adults were included in the study who patients presented with bladder cancer. Non-muscle invasive disease was more
common as compared to muscle invasive disease. A total of 6 patients underwent a radical cystectomy and standard pelvic lymph
node dissection with urinary diversion. 9 patients were put on Bacillus Calmette-Guérin (BCG). Remaining patients were treated as
per their histological features. Conclusion: Bladder cancer in young adult population usually presents as urothelial carcinoma with
spectrum of bladder carcinoma similar to adult population and should be offered same management as adults.
Keywords: Bladder tumour, Young adults, TCC Urinary Bladder