Our knowledge on the genetic origin of urological malignant diseases i
s steadily increasing, A lot of this knowledge is derived from observa
tions on familial clustering of certain malignancies. This review disc
usses the clinical features of familial cancer, the underlying genetic
defects and clinical implications. Bilateralism and early onset shoul
d bring to mind a possible familial predisposition. Up to know, no sim
ple genetic tests are available, but several advanced laboratory tests
have shown good results in attempts to determine hereditary risk, Maj
or knowledge on the possible familiality of most urologic malignant di
seases is important, because adequate screening of family members may
lead to early discovery and treatment.