Abstract： Objective To study The clinical value of routine ultrasound and trans-rectal ultrasound in diagnosis of bladder cancer. Methods 87 patients with bladder cancer were diagnosed by routine ultrasound and transrectal ultrasound,and compared with individual ultrasound examination about the rate of display and accuracy. Results In comparison with individual ultrasound examination, the rate of display and accuracy were obviously improved by routine ultrasound and trans-rectal ultrasound,there was statistical significance. Conclusion The routine ultrasound and trans-rectal ultrasound had the practical value in diagnosis of bladder cancer.