Abstract: Bladder lesions are categorized into benign and malignant lesions, commonly presenting with clinical manifestations such as hematuria or urinary obstruction. Some cases of benign lesions exhibit growth patterns resembling malignant lesions. Malignant bladder lesions rank sixth globally. This study aims to evaluate the clinicopathological characteristics of patients with bladder lesions at Sembiring General Hospital between 2021 and 2024 using a retrospective descriptive approach.