Verrucous carcinoma of the bladder is a distinct and extremly rare var
iant of squamous cell carcinoma, most often associated with schistosom
iasis and condylomata acuminata. It is a extremely rare entity unassoc
iated with any disease and only 4 cases have as yet been reported in t
he literature. Clinical observation has revealed only little tendency
to local recurrence and involvement of the lymphatic system. The treat
ment options for verrucous carcinoma of the bladder always require sur
gical intervention. Non-surgical treatment, even if used adjuvantly to
surgery, has been found to be inappropriate in the management of this
disease.