You might have lots of emotions to cope with when you are diagnosed with cancer. And treatment for bladder cancer can cause changes in your body which can affect how you feel in yourself.

There is support available to help you cope during and after treatment.

Your feelings

You may have several different feelings when you are told you have cancer. You may feel shocked and upset. You might also feel:

  • numb
  • frightened and uncertain
  • confused
  • angry and resentful
  • guilty

You may feel some or all these feelings. Or you may feel totally different. Everyone reacts in their own way. Sometimes it's hard to take in the fact that you have cancer at all.

Feelings are a natural part of coming to terms with cancer. All sorts of feelings are likely to come and go.

Helping yourself

You may be more able to cope and make decisions if you have information about your type of cancer and its treatment. Information helps you to know what to expect.

Taking in information can be difficult, especially when you have just been diagnosed. Make a list of questions before you see your doctor. Take someone with you to remind you what you want to ask and help remember the answers.

Ask your doctors and nurses to explain things again if you need them to.

Remember that you don’t have to sort everything out at once. It might take some time to deal with each issue. Ask for help if you need it.

Talking to other people

Talking to your friends and relatives about your cancer can help and support you. But some people are scared of the emotions this could bring up and won’t want to talk. They might worry that you won't be able to cope with your situation.

It can strain relationships if your family or friends don't want to talk. But talking can help increase trust and support between you and them.

Help your family and friends by letting them know if you would like to talk about what’s happening and how you feel.

You might find it easier to talk to someone outside your own friends and family. We have cancer information nurses you can call on freephone 0808 800 4040, from 9am to 5pm, Monday to Friday.

Or you may prefer to see a counsellor.

Physical problems

Bladder cancer and its treatment might cause physical changes to your body. It may be difficult to cope with these changes and they can affect the way you feel about yourself.


Having regular cystoscopies can give you symptoms like having a bladder infection (cystitis), such as:

  • needing to pass urine often (frequency)
  • needing to go quickly (urgency)
  • pain or stinging when passing urine

You can also get a urine infection or blood in the urine (haematuria) afterwards. Your doctor or specialist nurse will tell you how to cope with this. They can also prescribe medicines to help.

After a cystoscopy to remove early bladder cancer, you might worry that the cancer could come back and that you may need further treatment. Knowing that you are going to have cystoscopies every few months might also worry you. But if everything goes well, your check ups gradually become less frequent.


Surgery for bladder cancer might cause scarring. It can be difficult if you have surgery to remove your whole bladder (radical cystectomy).

You can get support to help you deal with the changes after surgery, particularly if you have a stoma. These body changes can affect your self esteem and the way you relate to close family and friends.


You might also feel very tired and lethargic a lot of the time. This can happen for a while after treatment, or if your bladder cancer is advanced.

Relationships and sex

The physical changes you have can affect your relationships and sex life. There are things that you can do to help.

Coping practically

As well as coping with the fear and anxiety that a diagnosis of bladder cancer brings, you might also have to work out how to manage practically. 

Practical things you and your family might need to cope with include:

  • money matters
  • financial support, such as benefits, sick pay and grants
  • work issues
  • childcare

Try to remember that you don't have to sort everything out at once. It might take some time to deal with each issue.

Ask for help if you need it. Your doctor or specialist nurse should know who you can contact to get help. They can put you in touch with professionals who are specially trained in supporting people with cancer. These people are there to help you so use them if you feel you need to.

You can get support from a stoma nurse or dietician. Social workers can help you with information about your entitlement to sick pay and benefits. They can also help you to organise your recovery if you need help when you first come out of hospital.

Last reviewed: 
01 Jul 2019
  • Cancer: Principles and Practice of Oncology (10th edition)
    VT De Vita, TS Lawrence and SA Rosenberg
    Lippincott, Williams and Wilkins, 2015

  • Cancer and its management (7th edition)
    J. Tobias and D. Hochhauser.
    Wiley-Blackwell, 2015

  • Bladder cancer: diagnosis and management
    National Institute for Health and Care Excellence, 2015

  • GOV.UK website
    Accessed November 2018

  • NHS 
    Accessed November 2018

  • The information on this page is based on literature searches and specialist checking. We used many references and there are too many to list here. Please contact with details of the particular issue you are interested in if you need additional references for this information.