Bladder cancer is one of the most common cancers of men between the ages of 60 to 70 years, but its occurrence in a young pregnant female is unusual. Until now less than 40 cases have been reported. Herein we report our experience in the diagnosis and management of a pregnant female with urothelial neoplasm of low malignant potential who has been treated with transurethral resection during pregnancy. She has had an uneventful pregnancy outcome. The patient also had an episode of recurrence, successfully treated with transurethral resection and intravesicalmitomycin.