Urinary Bladder Hamartoma (UBH) is one of the rarest entities reported in Urology, with, as far as we know, only fourteen cases reported in the literature. Otherwise, similar in presentation, imaging findings and macroscopic appearance as other bladder lesions, such as urothelial bladder carcinoma, UBH can solely be distinguished by histopathological examination. Therefore, we report an additional case of this rare tumour and provide a brief review of the current literature.