In Ghana, urinary schistosomiasis was considered a public health problem in the rural communities only. Recent reports are pointing to the resurgence of this infection in urban and peri-urban settlements. In this study, the prevalence of Schistosoma haematobium infection presenting at Kumasi South Hospital (surrounded by Atonsu, Gyinyaase and Ahinsan communities) and Aninwa Medical Centre (surrounded by Boadi, Ayeduase, Emena, Appiadu and Kokoben) were investigated in retrospect to determine whether S. haematobium infection rate difference was consistent over time and also to compare the prevalent rates of the infection between these two community hospitals. The available records of patients referred for urinalysis between 2000 and 2009 were retrospectively reviewed. Prevalence of S. haematobium infection at Kumasi South Hospital (an urban poor community) was 40.2% whilst Aninwa Medical Centre (a peri-urban settlement) recorded 4.5%. The infection was higher among males (66.4%) than the females (33.6 %) at both hospitals and a general pattern of 3-year peaks of the infection was observed. Our findings have indicated that the urban poor communities around Kumasi South Hospital are seriously affected by S. haematobium infection as compared to Aninwaah Medical Centre. Economic, agricultural and recreational activities of these communities living around the banks of River Susan in addition to lack of good household water might account for the high risk of the infection in the urban poor communities in the catchment areas of the Kumasi South Hospital.