Tests and next steps for bladder cancer

Main tests for bladder cancer

If a GP refers you to a specialist (urologist) because they think you could have bladder cancer, you'll have tests to check for cancer. You may have another urine test.

The main test for bladder cancer is a cystoscopy, where a thin camera is passed through the tube that carries pee out of your body (urethra) to see inside your bladder.

It may be uncomfortable, but it should not be painful. You'll have painkilling medicine so you do not feel any discomfort or pain, or it may be done while you're asleep (general anaesthetic).

During the cystoscopy, a small sample of the lining of your bladder may be taken for testing (called a biopsy).

Getting your results

You may get your results on the same day or after a few days.

You can call the hospital or your GP if you're worried and they may be able to update you if your results are ready.

If you're told you have bladder cancer

Being told you have bladder cancer can feel overwhelming. You may be feeling anxious about what will happen.

You'll be helped through your diagnosis and treatment by a team of specialists.

This team will include a clinical nurse specialist who will be your main point of contact during and after your treatment. You can ask them any questions you may have.

Next steps

If you've been told you have bladder cancer, you'll usually need more tests.

These, along with the tests you've already had, will help the specialists find out the size of the cancer, what type it is and how far it's spread (called the stage).

You may need:

• an ultrasound scan, MRI scan or CT scan
• blood tests
• a bone scan

You may not have all of these tests.

The specialists will use the results of these tests and work with you to decide on the best treatment plan for you.