Introduction: Urinary bladder carcinoma is the second most common cancer of the genitourinary tract and ninth most common cancer worldwide. The aim of this study was to analyse the clinico pathological features of histologically confirmed urinary bladder carcinoma cases at a tertiary care hospital of Rajasthan. Materials and method: This study was a retrospective cross-sectional study conducted from November 2019 to October 2021. We included 38 cases which came in two years. Result: In our study most common age group was 61-70 years. Male: female is 12:1. Hematuria was the most common presentation (42%) followed by abdominal pain (18%), dysuria and retention of urine (16%), increase frequency of urination (13%), urethral stricture (11%) and fever (8%). Microscopic findings showed 2 non-neoplastic cases (6%), zero benign and 33 malignant cases (87%). In three cases tissue was crushed so diagnosis was inconclusive. Out 18 of malignant cases 32 cases were of papillary type and 1 case was of adenocarcinoma. Conclusion: Urinary bladder carcinoma is diagnosed commonly at late stages in India as compared to western countries. Patients tend to ignore hematuria and other clinical symptoms at early stage of lesion. This situation can be improved by proper education, awareness among patients and adopting screening programmes in community. There is a need of other prospective studies to be done with higher number of patients in future for better understanding of the clinico-pathological features.