Learn: Key facts
If you've only just begun looking for more information about bladder cancer, it's probably because, like us, it has suddenly come into your life. Whether it is for yourself, a friend or a family member, you should know it is quite normal to know little or nothing about this cancer before it comes crashing into your life.
If you’ve recently been diagnosed with bladder cancer, or know someone who has, there will be certain basic things that you will want to know. Hopefully, what we tell you here will give you the key pieces of information you need right now. One thing we must stress right away is that there are many forms of bladder cancer, and the treatment you will be offered will depend on which type you have, how far it has grown and how aggressive it is.
While we hope the background information on this page will be helpful, you always need to talk to your doctor or consultant to find out what this all means for you.
So, let's start
- 18,000 people are diagnosed with invasive and non-invasive bladder cancer each year in England alone (Kockelbergh, et al. 2017. J Clin Urol, 10(1S) 3–8)
- There are more than 200 different types of cancer, and bladder cancer is the 5th most common in the Western world. For men, it is actually the 4th most common. Bladder cancer is not a rare cancer, even though it is hardly ever talked about (Ferlay, et al. 2018. Eur J Cancer, 108: 356-387)
- The majority of people diagnosed with bladder cancer are over 60 years old, but increasingly people of all ages, from children to teenagers, young adults to the middle aged, can also be affected by the disease
- Bladder cancer is more common in men, but more lethal in women
What causes bladder cancer?
Smoking is the by far the largest preventable cause of bladder cancer, so, if you haven’t given up yet, do it now! Even at this stage, it can massively help your recovery. In fact, bladder cancer is the only type of cancer that gets less aggressive if you stop smoking.
Other causes have been shown to include diesel fumes and certain industrial chemicals or dyes. In some cases we can't identify the cause, because not enough is known about the disease. This is why we support new research, so we can develop a better understanding of all the causes, and help prevent people getting bladder cancer in the first place.
Are there different types of bladder cancer?
Bladder cancer is commonly separated into slow-growing, non-invasive cancers and fast-growing invasive cancers. These are commonly called non-invasive bladder cancer (NMIBC) and invasive bladder cancer (MIBC).
Non-invasive bladder cancer can be called ‘early-stage bladder cancer’ – this is when the cancer is found to be limited to the bladder surface and hasn’t spread elsewhere.
Invasive bladder cancer is when the cancer has spread deeper into the bladder itself, or even through the wall of the bladder into adjoining organs.
How is bladder cancer treated?
This will depend on how aggressive your bladder cancer is and whether or not it has spread into the muscle part of your bladder.
Slow-growing bladder cancers
Called Low Grade or Grade 1 or 2, these tumours are the most common type, and do not normally spread beyond the bladder. They are treated by scraping the cancer from inside the bladder using a procedure called a TURBT (Transurethral Resection of Bladder Tumour). Often a localised form of chemotherapy is injected slowly into the bladder to try and kill all the cancerous cells in the bladder wall. This is the normal treatment for approximately 70% of all bladder cancer patients.
Fast-growing bladder cancers
Called High Grade or Grade 3, these tumours may be found either before they have started to invade the bladder wall or when they have already done so. Fast-growing cancers found in the early stages may be treated with BCG placed into the bladder. Fast-growing cancers that have already invaded the bladder wall need to be treated by either bladder removal (called a cystectomy) or radiotherapy. Often chemotherapy is used as well in these situations. This sounds dramatic, but if you do end up having to have your bladder removed, you can still have a normal healthy and active life afterwards.
How likely is it that I will die from bladder cancer?
It’s okay to ask this question, and we understand why you want an answer, but bear in mind it is very difficult for any doctor to answer this in the early stages of diagnosis. There are statistical estimates of 5-year survival rates from bladder cancer, but this simple figure doesn’t really tell you anything.
When you read about survival rates for bladder cancer, remember that they don’t give an accurate guide to what YOUR chances are of beating YOUR cancer. This depends on many factors: what age you are when diagnosed; how aggressive your particular type of cancer is, and the size, number and location of any cancerous growths. Do ask your doctor or consultant about life expectancy if you want to, but don’t be surprised if you get a vague answer. This won't be because they don’t want to answer your question, but rather because they will need to find out a lot more about your particular cancer before they can give you an honest, more accurate answer.
REMEMBER ONE SIMPLE TRUTH:
Most people diagnosed with bladder cancer are still alive five years later.
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We’ve done everything we can to make all the information on this site as accurate as possible. Whilst we have had support from a small team of medical professionals advisors to review the general medical content of this site, please remember, that only YOUR medical team can give YOU specific advice about YOUR symptoms or illness. We encourage you to discuss any potential options with them.