In this randomized clinical trial 76 patients with Papillary bladder tumors (<3 cm) that has therapeutic action (including TuRBT, laser or intravesical chemotherapy) has been done for them and willing to participate in the study and to complete the consent form, discussed and careful history taken from patients at the first visit and complete clinical examination, blood test for creatinine, hemoglobin, PSA, Ca, P, LFT, urine analysis and urine cytology are. Aspanyal anesthesia or general anesthesia (depending on clinical condition and comorbidities) and Holmium laser bladder tumor with local anesthesia (injection of 20 mL of 2% lidocaine gel) are included. group external laser treatment and other therapies (such as TURBT, intravesical chemotherapy or radical cystectomy) will start for the patient. Webster bladder tumor mass of cold cup biopsy specimens and samples from TuRBT laser group is sent to pathology. The results of the duration of hospital stay and postoperative catheterization time, there hematuria and the amount of irrigation fluid used during surgery, duration of surgery, the number of reflex obteratur and perforation of the bladder, causing dysuria and frequency after practice, creating UTI and other complications after surgery and the rate of recurrence, the recurrence and progression of tumor stage and Grade 18 months, and complications and recurrence rates between the two groups at 1, 3, 6, 12 and 18 months after treatment review and compare