Bladder cancer is the most common malignancy of the urinary tract, and represents 4.5% of all new malignancies. The peak incidence is in the 6th and 7th decades, although there is an increasing number of patients who present under the age of 30. The male to female ratio is 4:1. The age standardised incidence rates/100000 population for males is 19.5 in the UK and 23 in the USA. For females it is 6/100000 population both in the UK and USA.