×
Select Your Country
Although bladder cancer may not receive as much attention as other types of cancer, it is one of the top 10 most common cancers globally, and its early warning signs are frequently overlooked. Blood in the urine is a simple symptom that could be the body's first warning sign. However, a lot of people disregard it completely or confuse it with a minor infection.
What bladder cancer symptoms are, how it's diagnosed, and why early detection can make the difference between a simple treatment and a life-threatening condition are all covered in this blog. Before it's too late, here's what you need to know, whether you're looking for answers for a loved one or yourself.
When abnormal cells in the bladder, which store urine before it leaves the body, grow out of control, bladder cancer results. The urothelial cells lining the bladder's interior are where the majority of bladder cancers start. Although anyone can get this cancer, men are more likely than women to get it, and most cases are discovered after the age of 55.
Nearly 82,000 new cases of bladder cancer are diagnosed in the United States each year, according to the American Cancer Society. The secret to effective treatment is early detection through knowledge of symptoms and risk factors.
Bladder cancer is influenced by a combination of genetic, environmental, and lifestyle factors. The main causes include:
1. Smoking
Smoking is the leading cause of bladder cancer. Harmful chemicals in tobacco smoke pass through the kidneys and accumulate in the urine, damaging the bladder lining over time.
2. Exposure to Chemicals
People working in certain industries (e.g., dye, rubber, leather, paint, and printing) are exposed to carcinogenic chemicals like aromatic amines, which increase the risk.
3. Chronic Bladder Infections
Repeated urinary tract infections (UTIs) or long-term catheter use can irritate the bladder lining, leading to cellular changes and potentially cancer.
4. Radiation Exposure
Previous radiation therapy to the pelvic region can damage bladder cells and raise the cancer risk.
5. Certain Medications
Long-term use of drugs like cyclophosphamide (chemotherapy) or pioglitazone (for diabetes) may increase risk.
6. Family History and Genetics
Having a family member with bladder cancer or certain genetic mutations may increase susceptibility.
Understanding the bladder cancer symptoms is vital for early detection and diagnosis.
Common Signs and Symptoms of Bladder Cancer
Hematuria (blood in urine): It is the most common sign of bladder cancer. Urine may appear pink, red, or cola-coloured, even if painless.
Frequent urination
Burning or pain during urination (dysuria)
Feeling the urgent need to urinate, even when the bladder is not full
Weak urine stream or difficulty urinating
Women may misinterpret symptoms as UTIs or menstrual issues. Common symptoms of bladder cancer in women include:
Persistent pelvic pain
Recurrent UTIs
Blood in urine
Painful urination
In addition to hematuria and urinary problems, men may experience:
Pain in the lower back or pelvic region
Discomfort during ejaculation or urination
Weak urine flow
Note: These symptoms may overlap with other urological conditions. Always consult a urologist if you notice these issues.
Bladder cancer is classified based on the type of cells involved:
Type | Description |
Urothelial carcinoma | Most common type (over 90%), starts in the lining of the bladder. |
Squamous cell carcinoma | Often linked to chronic irritation or infection. |
Adenocarcinoma | Very rare, it begins in mucus-producing glandular cells. |
Small cell carcinoma | Highly aggressive, forms in neuroendocrine cells of the bladder. |
Diagnosing bladder cancer typically involves a combination of physical exams, urine tests, imaging, and biopsies.
1. Urinalysis
A basic test to detect blood, infection, or abnormal cells in the urine.
2. Urine Cytology
A pathologist examines urine under a microscope to identify cancerous cells.
3. Cystoscopy
A small tube with a camera is inserted through the urethra to examine the bladder lining.
4. Biopsy
During a cystoscopy, tissue samples may be collected for laboratory analysis.
5. Imaging Tests
CT Urogram or MRI: To detect tumours, blockages, or spread to nearby organs.
Ultrasound: Non-invasive test to detect masses in the bladder or kidneys.
6. Urine Tumour Marker Tests
Tests like NMP22 or BTA can help detect bladder cancer biomarkers.
Treatment depends on the type, stage, and overall health of the patient. Common approaches include:
1. Surgery
TURBT (Transurethral Resection of Bladder Tumour): For early-stage tumours.
Cystectomy: Partial or complete removal of the bladder in advanced cases.
2. Intravesical Therapy
3. Chemotherapy
4. Radiation Therapy
5. Immunotherapy
While not all cases can be prevented, several lifestyle changes can lower your risk:
Quit smoking: The most important preventive step.
Stay hydrated: Drinking more fluids may help flush harmful chemicals.
Limit exposure to carcinogens: Especially in occupational settings.
Eat a balanced diet: Rich in fruits, vegetables, and antioxidants.
Regular medical check-ups: Especially if you have a history of bladder issues or are at high risk.
If you observe:
Blood in your urine, get medical help.
Recurring urinary tract infections
Urinating painfully or frequently
Chronic lower back or pelvic pain
Timely diagnosis and improved results are guaranteed when bladder cancer symptoms in men and women are evaluated early.
We at Manipal Hospitals Global recognise the overwhelming nature of receiving a cancer diagnosis. Our services for international patients are intended to guarantee that each patient receives top-notch care with empathy, understanding, and assurance. We facilitate your path to recovery with everything from precise diagnosis and treatment plans to easy travel assistance and individualised care coordination.
If you or your loved one is seeking expert evaluation or a second opinion for bladder cancer or any complex urological issue, Manipal Hospitals Global Services is here to help.
Your health deserves global excellence. Choose Manipal.
Blood in the urine (haematuria) is the most common and often first sign of bladder cancer. It might look pink, red, or like cola, and it usually doesn't hurt. Sometimes you can see it with the naked eye, and other times you can only see it in a urine test with no other signs.
Yes, bladder cancer is often confused with a urinary tract infection (UTI), especially in women. Frequent urination, urgency, and painful urination are all similar symptoms. If these problems don't go away with treatment or keep coming back, more tests should be done to rule out bladder cancer or other serious conditions.
If you catch bladder cancer early, it is very treatable and even curable. Surgery and intravesical therapy work well for non-muscle-invasive bladder cancer. More aggressive treatment is needed for advanced stages, but modern therapies have made survival better. Regular follow-ups are very important because there is a good chance that the problem will happen again.
The stage of bladder cancer depends on how far the tumour has spread to lymph nodes or other organs and how deeply it has invaded the bladder wall. There are five stages, from 0 (non-invasive) to IV (metastatic). Using imaging and biopsies, accurate staging helps figure out the best treatment plan and predict what will happen.