• Haematuria
• urachal
• adenocarcinoma
• partial cystectomy
• recurrent

Primary adenocarcinoma of the bladder accounts for less than 1% of all bladder malignancies.¹ Of these, 20–39% are urachal in origin. Urachal adenocarcinoma is more common in men and tends to present in the 5th or 6th decades, although it has been described in a 15 year old girl.² The common presenting symptoms are haematuria, pain, irritative symptoms, and mucousuria.³ We report a 37 year old woman who presented with a history of irritative voiding symptoms and a suprapubic mass. Five years earlier, she had undergone a laparotomy, partial cystectomy, …