Bladder Cancer and UTIs: Don't Delay Care

• If you've ever had a urinary tract infection (UTI), you know that the symptoms can be hard to ignore. What many people don't realize: UTIs can often mimic more serious conditions. One important one to be aware of is bladder cancer.

  Bladder cancer is much less common than UTIs. So, you shouldn't automatically assume that unusual urinary symptoms are a sign of bladder cancer. Around 40% of women and 20% of men will get a UTI in their lifetime. Bladder cancer affects only around 85,000 people per year in the U.S.  

  That said, it's worth knowing about how the symptoms overlap—and seeking care as needed. Here are the red flags to know about.  

  UTI or bladder cancer: Which is it?

  The symptoms of bladder cancer and UTIs can feel surprisingly similar. Both conditions can cause:

  • Pain when urinating
  • An urgent need to urinate, even when your bladder isn't full
  • The feeling that you need to urinate, but nothing comes out
  • A frequent need to urinate  
  • Blood in the urine—the most common early sign of bladder cancer
  • In some cases, abdominal or back pain

  In its later stages, bladder cancer can also cause symptoms that aren't typical of UTIs, such as:

  • Fatigue
  • Weight loss
  • A lack of appetite  

  And some UTI symptoms, such as cloudy or foul-smelling urine, are not common indicators of bladder cancer.  

  When to seek help for bladder symptoms

  If you're having unusual bladder symptoms—especially if you notice blood in your urine—tell your doctor. A simple urine test can reveal whether you have a UTI.

  Don't wait: Bladder cancer is often easier to treat in its early stages. And if your symptoms are caused by a UTI, you'll likely need antibiotics to fight the infection, which can become serious.

  If you are still seeing blood in your urine, or if symptoms don’t improve or return soon after taking antibiotics, tell your doctor.  

  If your symptoms aren't caused by a UTI, your doctor can refer you to a urologist for further testing. Other underlying causes, like kidney stones, enlarged prostate or being on a blood-thinning medication, can also result in UTI-like symptoms.  

  If you're worried about your risk for bladder cancer, let your doctor know. Together, you can assess your risk and come up with a plan to help you stay healthy.  

  The link between UTIs and bladder cancer

  Since UTIs and bladder cancer have common symptoms, you might wonder whether the two are related. Many people are surprised to learn that chronic UTIs are, in fact, linked to a higher risk for bladder cancer.  

  How? Inflammation from frequent UTIs can damage the layer of cells that line the bladder. This damage can potentially lead to the development of cancerous cells in the bladder over time.

  Most people who get chronic UTIs won't get bladder cancer. But don't hesitate to speak up and share your concerns. Your doctor can offer advice and treatment to help prevent recurring UTIs. And they can refer you to a specialist to help identify any underlying problem.

  Protect your bladder

  Some lifestyle changes can help reduce your risk for both chronic UTIs and bladder cancer. Here are some of the most effective things you can do:  

  Urinate as soon as you feel the urge to go. Emptying your bladder often helps your body get rid of harmful toxins and bacteria. Try not to hold it for too long.

  Drink plenty of water. Staying hydrated encourages you to urinate more often.  

  Quit smoking, if you smoke. While using tobacco may not be the only cause, at least half of all new bladder cancer cases are linked to smoking.  

  Get expert care

  If you've been diagnosed with bladder cancer, how quickly you are seen—and where you get your care—can make a big difference. Consider a consultation with the genitourinary oncology team at Fox Chase. We offer a full spectrum of bladder cancer care, including innovative treatments and support. Call 888-368-2427 or request an appointment online.