Renal cell carcinoma metastatic to the urinary bladder is a rare entity. Few cases of renal cell carcinoma with solitary synchronous metastasis to the urinary bladder have been reported. We report a case of renal cell carcinoma with solitary synchronous metastasis to the urinary bladder. A new metastasis developed in the right adrenal gland at the 24th month, and was resected. The patient is alive without any new recurrences or metastasis 36 months after the initial diagnosis. The follow up duration of our case is the longest of published cases.