To assess if Trans-Urethral Snare of Bladder Tumour [TUSnBT] with subsequent stone basket retrieval could be used as an effective, time-saving adjunct endoscopic resection technique for papillary bladder lesions. Via a standard cystoscopy, TUSnBT was performed using a standard endoscopic polypectomy snare with subsequent tumour extraction utilizing a standard stone retrieval basket, when lesions were more than 10mm. Smaller lesions were removed with the polypectomy snare. Standard (Trans-Urethral Resection of Bladder Tumours) TURBT of the tumour bed was performed post TUSnBT. Histological assessment was performed and assessed separately per session. TUSnBT with stone retrieval basket retrieval is a feasible method in selected papillary bladder lesions, and may be coupled with standard TURBT resection techniques. This method is less time consuming and would prove beneficial in select lesions. It may also be beneficial to assist with reducing the resection time or inadvertent bladder perforation encountered during the conventional TURBT. A critical appraisal of all endoscopic therapies in the management of Bladder Cancer is also performed.