Urinary bladder pheochromocytoma is a rare entity. Hypertension, micturition syncope, and headache are the common presenting symptoms. Difficulty in diagnosis and risk of intraoperative hypertensive crisis makes it dreadful disease to treat. We present a case of 30 year old male presenting with hematuria but no hypertension or urinary complaints, mimicking urothelial carcinoma of bladder. Patient underwent partial cystectomy and is on regular uneventful follow–up of 1 year. SUMMARY: In a young patient of bladder growth, paraganglioma of urinary bladder should be kept as differential diagnosis; if clinical features and cystoscopy findings are indicative . Adequate precautions should be taken while performing surgery.