This prospective study was performed to describe the presentation and the staging of bladder cancer at the time of referral which is an important factor in the prediction and prognosis of the disease. The cases were seen in urology center (Al-Thawra hospital — Sana’a) in Yemen through the period from January 2008 - October 2009. Some 132 patients included 102 males and 30 females, were evaluated regarding presentation, staging and grading. Symptoms, physical examination investigation and histopathology was done. The majority of the patients were referred from Taiz governorate (18.2 %). most patients fall in the age group 50-69 years, the male to female ratio was 3:1 and the average age was 54 years. Most of the patients (7 1.2%) presented with gross painless hematuria associated with irritative voiding symptoms. The most common malignant tumor of urinary bladder was transitional cell carcinoma (72.7 %) , 47% (62/132) had muscle invasive tumor (T2 and T3), 30.3% (40/132) had local adjacent organ metastasis (T4). The most common grading was poorly differentiated — high grade- G3 64 cases (48.4%) and it was common mainly among the age group 50-69 years. Our study suggests that bladder cancer was referred from other governorate and private hospitals as cases of urinary bladder mass at late stage (T4) and high grade tumor . However, this situation can be further improved by adopting proper screening programs and performing appropriate investigations. Keywords : Bladder cancer, Stage, Grade, Hematuria.