Bladder Cancer Diagnosis & Treatment in London
Blood in your urine can be worrying, particularly when it happens without pain or other symptoms. While there are several possible causes, it should always be investigated promptly.
Our consultants provide careful assessment, accurate diagnosis and clear advice for people with bladder cancer concerns. If cancer is diagnosed, we will explain the findings in plain English and discuss the treatment options that may be suitable for you.
Understanding bladder cancer
Bladder cancer develops in the cells that line the inside of the bladder. Its most common early sign is blood in the urine, which is often painless. This is why any blood in the urine, even a single episode, should be investigated rather than ignored.
Many bladder cancers are found at an early stage, when the cancer is confined to the inner lining of the bladder. These are known as non-muscle-invasive bladder cancers. They can often be treated successfully, although they may return over time. Regular follow-up is therefore an important part of care.
A smaller number of bladder cancers have grown into the muscle of the bladder wall. These are known as muscle-invasive bladder cancers and may need more involved treatment. Establishing the type, grade and stage of a tumour is an important part of deciding what treatment may be appropriate.
Smoking is a significant risk factor for bladder cancer. Certain workplace chemical exposures may also increase risk. Whatever the cause of your symptoms or diagnosis, your consultant will help you understand the next steps without unnecessary alarm.
Accurate diagnosis and staging
Diagnosing bladder cancer usually follows a clear sequence of investigations.
Flexible cystoscopy
A cystoscopy uses a thin, flexible camera to examine the lining of the bladder directly. It can help identify changes in the bladder lining or a possible tumour. Flexible cystoscopy is often carried out using local anaesthetic.
Imaging and urine tests
Imaging of the urinary tract and urine tests may be arranged alongside cystoscopy. Together, these tests help build a clearer picture of your bladder and wider urinary system.
TURBT for staging
If a tumour is found, a transurethral resection of bladder tumour, known as TURBT, may be recommended. This procedure removes the tumour through the urethra, without an external incision. The tissue can then be examined to confirm the type of tumour and how deeply it has grown into the bladder wall.
Who may need a bladder cancer assessment?
Prompt assessment for possible bladder cancer may be appropriate if you:
- Have noticed blood in your urine, even once
- Have persistent urinary symptoms without a clear cause
- Smoke or have previously smoked
- Have had relevant workplace chemical exposure
- Have been advised to have your bladder investigated
Blood in the urine does not always mean cancer. However, it should not be ignored. If you have visible blood in your urine, seek medical advice promptly.
What to expect
- Rapid investigation
Your consultant will discuss your symptoms, medical history and any previous test results. Appropriate tests, such as cystoscopy, urine tests or imaging, can then be arranged. - Diagnosis and staging
If a tumour is identified, TURBT may be recommended to remove it and provide the information needed to guide treatment. - Treatment and surveillance
Your treatment plan will be based on the type and stage of bladder cancer, alongside your general health and personal preferences. Where follow-up is needed, your consultant will explain the recommended surveillance plan.
Treating bladder cancer
Treatment depends on the type and stage of the cancer. For non-muscle-invasive tumours, treatment may involve surgery, treatment given directly into the bladder or ongoing surveillance.
TURBT
TURBT is a keyhole procedure used to remove bladder tumours through the urethra. It can treat a tumour and provide tissue to confirm the diagnosis, grade and stage.
Transurethral Laser Ablation (TULA)
For suitable low-grade tumours, transurethral laser ablation may be an option. This minimally invasive treatment uses a laser through a cystoscope to treat areas within the bladder. Your consultant will advise whether it is appropriate for you.
Why choose our London clinic for bladder cancer diagnosis and treatment?
Consultant-led urology care
Assessment and treatment advice from a specialist urology consultant.
Careful investigation
Appropriate tests to investigate symptoms and establish a clear diagnosis.
Straightforward explanations
We explain results, staging and treatment options in language that is clear and easy to understand.
Personalised next steps
Recommendations are based on your diagnosis, general health and priorities.
Frequently asked questions
What is the most common sign of bladder cancer?
Blood in the urine is the most common sign. It may be pink, red or dark brown, and can happen without pain. Any blood in the urine should be investigated promptly.
Is bladder cancer treatable?
Treatment depends on the type, grade and stage of the cancer. Early bladder cancers that are confined to the bladder lining are often treated with tumour removal and may need further treatment or regular follow-up. More advanced bladder cancer requires specialist treatment planning.
Why is ongoing surveillance needed?
Some bladder cancers can return after treatment. Regular cystoscopy checks allow the bladder lining to be monitored so that any recurrence can be identified and treated as early as possible.
What is a TURBT?
TURBT stands for transurethral resection of bladder tumour. It is a procedure used to remove a bladder tumour through the urethra. The tissue removed is examined to help confirm the diagnosis and guide further treatment.
What can increase the risk of bladder cancer?
Smoking is a significant risk factor. Certain workplace chemical exposures may also increase risk. Your consultant can discuss any relevant risk factors during your appointment.
Book your consultation today
Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
