<b><i>Background:</i></b> Common malignant tumors of the urinary system include renal cell carcinoma, bladder carcinoma, and prostate cancer. The research on the <i>CYP24A1</i> gene for prostate cancer is mainly concentrated in European and American populations, and there are few studies in the Chinese population. Therefore, we selected bladder cancer, prostate cancer, and renal cancer as the research objects to explore the influence of <i>CYP24A1</i> on the genetic susceptibility of urinary system tumors. <b><i>Materials and Methods:</i></b> rs6068816, rs2296241, rs2762934, and rs1570669 in 529 patients and 523 controls were genotyped via the Agena MassARRAY. Logistic regression analysis was used to evaluate the odd ratios (ORs) and 95% confidence intervals (CIs) of two SNPs with susceptibility of urinary system cancer. Database predicts the expression of the <i>CYP24A1</i> gene in urinary system cancer. <b><i>Results:</i></b> Individuals with the AG genotype of <i>CYP24A1</i> rs1570669 has a 28% lower risk of developing urinary system tumors (OR = 0.72, 95% CI: 0.56–1.13, <i>p</i> = 0.016) and has a 31% lower risk of developing renal cancer (OR = 0.69, 95% CI: 0.51–0.92, <i>p</i> = 0.012). <b><i>Conclusions:</i></b> <i>CYP24A1</i> rs1570669 may play an important role in the susceptibility of tumors of the urinary system and renal cancer.