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Getting diagnosed

Screening for bladder cancer

There is no national screening programme for bladder cancer in the UK. This is because there isn't a screening test that reliably picks up bladder cancer at an early stage.

What is cancer screening?

Screening means testing people for early stages of a disease. This is before they have any symptoms. For screening to be useful the tests:

  • need to be reliable at picking up cancers

  • overall must do more good than harm to people taking part

  • must be something that people are willing to do

Screening tests are not perfect and have some risks. The screening programme should also be good value for money for the NHS.

Find out more about screening

Why there isn’t a screening programme for bladder cancer in the UK

There is no screening programme for bladder cancer in the UK at the moment because:

  • there is no reliable screening test for bladder cancer

  • the benefits don’t outweigh the costs

People at higher risk of getting bladder cancer

Talk to your GP if you think you are at an increased risk of bladder cancer. They may ask questions about any family members who have cancer and the age they were diagnosed.

Your GP may be able to reassure you that your risk of bladder cancer is not increased. Or they may refer you to a family cancer clinic or genetic clinic for advice.

Find out about the risks and causes of bladder cancer

Whether you think you are at high risk or not, it is very important to see your doctor if you develop any bladder symptoms. This is the best way of finding bladder cancer in its earliest stages, when it is most treatable.

Get more information on the symptoms of bladder cancer

Research into screening

At the moment there is no reliable screening test for bladder cancer. Researchers have been looking at urine tests to diagnose bladder cancer. A urine sample is less invasive, simpler and quicker than other bladder cancer tests.

Testing urine for blood

Testing for blood in the urine is not a useful screening test for the general population. This is because small amounts of blood in the urine can be due to other medical conditions. For example, a urine infection or kidney problems.

Researchers have looked at testing for blood in the urine for people at a higher risk of bladder cancer. The test involves dipping a testing stick into a fresh sample of urine. The National Screening Committee have looked at the results of many studies. They think that testing the urine for blood is not a useful test for this group of people at the moment. 

Other urine tests

Researchers are also looking at testing urine for certain proteins that might be a sign of bladder cancer.

Find out more about studies on our clinical trials page

Last reviewed: 01 May 2025

Next review due: 01 May 2028

Symptoms of bladder cancer

The main symptom of bladder cancer is blood in your pee (urine). Other symptoms include problems passing urine, pain, feeling tired and weight loss.

What is bladder cancer?

Bladder cancer starts in the inner lining of the bladder. The bladder stores urine and is in the lower part of your tummy (abdomen).

Seeing your GP about bladder cancer

See your GP if you have any symptoms. For bladder cancer, symptoms include blood in your pee (urine) and problems passing urine.

Getting diagnosed with bladder cancer

You usually start by seeing your GP. Depending on your symptoms, they might refer you for tests or to see a specialist.

Risks and causes of bladder cancer

Smoking tobacco is the biggest cause of bladder cancer in the UK. There are some other risk factors that can increase your risk.

Bladder cancer main page

Go to the main page to find all the information we have about bladder cancer, including tests, treatment, research and support.

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