Recent studies of the malignant phenotype have suggested that cumulati
ve genetic changes are necessary for a malignant cell to develop. Alte
rations in particular genes associated with cell growth and division h
ave been identified and two main classes of genes have been characteri
zed. Oncogenes are those genes which when mutated promote tumour growt
h, whereas tumour suppressor genes (antioncogenes) inhibit tumour grow
th. Oncogenes have been investigated in some depth, but relatively lit
tle is known about tumour suppressor genes. Recent studies have shown
that inactivation of normal tumour suppressor genes is a common mechan
ism in cancer progression and this may be of prognostic value. The pre
sent review focuses on the potential of tumour suppresser genes as pro
gnostic markers in urological cancers.