The urothetial neoplasms are known for their recurrence and morbidity than mortality. All types of neoplasms can be seen in bladder, but more than 95% of bladder tumors are of epithetial in origin and the rest are mesenchymal. Variants like squamous cell carcinoma and adenocarcinoma of urinary bladder carry worst prognosis T whereas prognosis of even high grade urothetical carcinoma stands better survival rate. The challenge is that, early detection and treatment of new or recurrent cases are required to optimize bladder preservation, reduced patient morbidity and increase survival rate. Urinary cytodiagnosis and histopathological study are cost effective and have fairly accurate morphological assessment for early detection of bladder tumors as such patients present with history of painless hematuria. Hence the present study was planned Study of Different types of Oncological Outcomes in Patients with Nonurothelial Bladder Cancer. The present study was planned in Department of General Surgery, Mata Gujri Memorial Medical College and Lion Seva Kendra Hospital, Kishanganj, Bihar. The study was done from June 2016 to June 2017. The patients diagnose with bladder cancer and referred to our hospital were enrolled in the present study. Increasing attention in recent years, along with more specific and sensitive markers, has led to heightened recognition of the divergent differentiation often present in urothelial cancer. The most common non-urothelial histologies in bladder cancer are squamous, adenocarcinoma and small cell carcinoma, all of which often present at an advanced stage. Early detection and treatment of new / recurrent cases is required to optimize bladder preservation, reduce patient morbidity and increase quality of life.