Illness & Conditions - Health Conditions
What is bladder cancer?
Cancer is the growth of abnormal cells in the body. These extra cells grow together and form masses, called tumors. In bladder cancer, these growths happen in the bladder.
Bladder cancer can usually be successfully treated if it is found and treated early. And most bladder cancer is found early.
What causes bladder cancer?
We don't know what causes bladder cancer. But smoking cigarettes or being exposed to certain chemicals raises your risk. And like other cancers, changes in the DNA of your cells seem to play a role.
What are the symptoms?
Blood in the urine is the main symptom. Other symptoms may include having to urinate often or feeling pain when you urinate.
These symptoms can be caused by other problems, including a urinary tract infection . Always call your doctor if you see blood in your urine.
How is bladder cancer diagnosed?
To diagnose bladder cancer, your doctor will:
How is it treated?
Treatment choices for bladder cancer include:
The treatment depends a lot on how much the cancer has grown. Most bladder cancers are treated without having to remove the bladder.
Sometimes doctors do have to remove the bladder. For some people, this means having urine flow into a bag outside of the body. But in many cases, doctors can make a new bladder—using other body tissue—that works very much like the old one.
Bladder cancer often comes back. The new tumors can often be treated successfully if they are caught early. So it's very important to have regular checkups after your treatment is done.
It's common to feel scared, sad, or angry after finding out that you have bladder cancer. Talking to others who have had the disease may help you feel better. Ask your doctor about support groups in your area.
What increases your chances of getting bladder cancer?
Anything that increases your chances of getting a disease is called a risk factor. The main risk factors for bladder cancer include:
Frequently Asked Questions
Health Tools help you make wise health decisions or take action to improve your health.
The cause of bladder cancer is not known. Changes in the genetic material ( DNA ) of bladder cells may play a role. Chemicals in the environment and cigarette smoking also may play a role. And when the lining of the bladder is irritated for a long time, cell changes that lead to cancer may occur. Some things that cause this are radiation treatment, having catheters in place for a long time, or having the parasite that causes schistosomiasis.
Bladder cancer is twice as likely to develop in smokers than in nonsmokers. Experts believe that smoking causes about half of bladder cancer in men and more than one-fourth of bladder cancer in women. 1
Exposure to chemicals and other substances at work—including dyes, paints, leather dust, and others—may also cause bladder cancer.
The most common symptoms of bladder cancer include:
Symptoms that may indicate more advanced bladder cancer include:
Other symptoms that may develop when bladder cancer has spread include:
The symptoms of bladder cancer may be similar to symptoms of other bladder conditions.
Bladder cancer is the rapid, uncontrolled growth of abnormal cells in the bladder. Cancer usually begins in the lining of the bladder. The cancerous cells may spread through the lining into the muscular wall of the bladder.
Invasive bladder cancer may spread to lymph nodes , other organs in the pelvis (causing problems with kidney and bowel function), or other organs in the body, such as the liver and lungs.
Your treatment will depend on how far the cancer has spread.
Most bladder cancer is found early, before it has spread into the bladder wall. Surgery can usually remove these tumors. But bladder cancer often comes back, so you may also get other treatments, such as chemotherapy or immunotherapy , to lower the chances of that happening.
What Increases Your Risk
The main risk factors for bladder cancer include:
When To Call a Doctor
If you have been diagnosed with bladder cancer, be sure to follow your doctor's instructions about calling when you have problems, new symptoms, or symptoms that get worse.
Call your doctor if you:
If you are concerned about your symptoms or about your risk for bladder cancer, make an appointment with your doctor. Watchful waiting is not appropriate if you have symptoms that do not go away.
Who to see
Health professionals who can evaluate your symptoms and your risk for bladder cancer include:
Doctors who can manage your cancer treatment include:
To prepare for your appointment, see the topic Making the Most of Your Appointment.
Exams and Tests
To find out whether bladder cancer may be the cause of your urinary symptoms, your doctor will:
You will have a cystoscopy, a test that allows your doctor to look at your bladder with a thin, lighted tube. The doctor can use the same tube to take small tissue samples ( biopsies ) of any abnormal areas. The samples will be looked at under a microscope to find out whether cancer cells are present and what the cells look like.
Tests to determine stage and grade
Bladder cancer is classified by stage and grade . The stage is determined by the cancer growth in the bladder wall and how far it has spread to nearby tissues and other organs, such as the lungs, the liver, or the bones. The grade of bladder cancer is determined by how the cancer cells look in comparison with normal bladder cells.
Your doctor finds out the stage and grade of your bladder cancer by gathering information from several tests, including:
The stage and grade of your cancer are important in choosing the right treatments.
Other diagnostic tests that may be done include:
Early detection of returning cancer
Bladder cancer often comes back, so it's important to have regular checkups. Then, if the cancer does come back, you have a better chance of finding it early enough for successful treatment.
The choice of treatment and the long-term outcome (prognosis) for people who have bladder cancer depend on the stage and grade of cancer. When deciding about your treatment, your doctor also considers your age, overall health, and quality of life.
Bladder cancer has a better chance of being treated successfully if it is found early.
Treatment choices for bladder cancer may include:
When you first find out that you have cancer, you may feel scared or angry. Or you may feel very calm. It's normal to have a wide range of feelings and for those feelings to change quickly. Some people find that it helps to talk about their feelings with family and friends.
If your emotional reaction to cancer gets in the way of your ability to make decisions about your health, it's important to talk with your doctor. Your cancer treatment center may offer psychological or financial services. And a local chapter of the American Cancer Society can help you find a support group.
Additional information about bladder cancer is provided by the National Cancer Institute at www.cancer.gov/cancertopics/types/bladder.
Side effects of treatment
Most treatments for bladder cancer cause side effects. Side effects may differ, depending on the type of treatment used and your age and overall health.
Home treatment measures may help you manage the side effects.
Body image and sexual problems
Sexual problems can be caused by physical or psychological factors related to the cancer or its treatment. You may experience less sexual pleasure or lose your desire to be sexually intimate.
Your feelings about your body may change following treatment for cancer. Managing body image issues may involve talking openly about your concerns with your partner and discussing your feelings with your doctor. Your doctor may also be able to refer you to groups that can offer support and information.
Bladder cancer that comes back
After initial treatment for bladder cancer, it is important to receive follow-up care, because bladder cancer often comes back (recurs). Your doctor will set up a regular schedule of checkups and tests.
Bladder cancer may recur in the bladder, or it may spread (metastasize) to other parts of the body. Recurrent bladder cancer may be treated with surgery or chemotherapy to slow cancer growth and relieve symptoms.
Participation in a clinical trial may be recommended if you have been diagnosed with recurrent bladder cancer.
Cancer treatment has two main goals: curing cancer and making your quality of life as good as possible. Palliative care can improve your quality of life by helping you manage your symptoms. It can also help you with other concerns that you may have when you are living with a serious illness.
For some people who have advanced cancer, a time comes when treatment to cure cancer no longer seems like a good choice. This can be because the side effects, time, and costs of treatment are greater than the promise of cure or relief.
But this isn't the end of treatment. It can be hard to decide when to stop treatment aimed at prolonging your life and shift the focus to end-of-life care. You and your doctor can decide when you may be ready for hospice care .
For more information, see:
Bladder cancer cannot be prevented, but you may be able to reduce some of your risk for getting it.
The side effects of bladder cancer treatment can be serious. Healthy habits such as eating a balanced diet and getting enough sleep and exercise may help control your symptoms. Your doctor may also give you medicines to help you with certain side effects.
You can try home treatments:
Other issues that can be treated at home include:
Handling the stress of having cancer
Having cancer can be very stressful, and it may feel overwhelming to face the challenges in front of you. Finding new ways of coping with the symptoms of stress may improve your overall quality of life.
These ideas may help:
Having cancer can change your life in many ways. For support in managing these changes, see the topic Getting Support When You Have Cancer.
Medicines may be used to control the growth of bladder cancer cells and to relieve symptoms. These medicines may be taken by mouth, injected into a vein ( intravenous, or IV ), or delivered directly into the bladder using a catheter.
Surgery is used to treat most stages of bladder cancer.
What to think about
Side effects from your surgery can include bowel problems such as constipation or diarrhea. Your ability to have or enjoy sexual intercourse may also be affected.
Radiation treatment for bladder cancer uses high-energy X-rays to kill cancer cells and shrink tumors. It may be given after surgery. It may be used along with chemotherapy. Sometimes it is used instead of surgery or chemotherapy.
Which treatment you receive will depend on the type and stage of your cancer.
Your doctor may talk to you about joining a research study called a clinical trial if one is available in your area. Clinical trials are research studies to look for ways to improve treatments for bladder cancer. Experts are doing studies on:
For some people with bladder cancer, clinical trials may offer the best treatment available.
People sometimes use complementary therapies along with medical treatment to help relieve symptoms and side effects of cancer treatments. Some of the complementary therapies that may be helpful include:
These mind-body treatments may help you feel better. They can make it easier to cope with treatment. They also may reduce chronic low back pain, joint pain, headaches, and pain from treatments.
Before you try a complementary therapy, talk to your doctor about the possible value and potential side effects. Let your doctor know if you are already using any such therapies. They are not meant to take the place of standard medical treatment.
Other Places To Get Help
Last Revised: October 22, 2012
American Cancer Society (2010). Cancer Facts and Figures 2010. Atlanta: American Cancer Society. Available online: http://www.cancer.org/Research/CancerFactsFigures/CancerFactsFigures/cancer-facts-and-figures-2010.
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