Memorial Sloan-Kettering urologic surgeon Bernard Bochner says the most common symptom of bladder cancer is the appearance of blood in the urine, often without pain or other urinary symptoms. Many people dismiss this symptom, because it may go away for several weeks before it returns.
Men with blood in their urine should have a complete workup of the genitourinary tract, including the kidneys and bladder, says medical oncologist Dean Bajorin. This may include a urinalysis, CT scan, and direct visualization of the urinary tract, which can be performed in the urologist’s office using a flexible tube called a cystoscope. If a tumor is found, the doctor will remove it through a surgical procedure called a transurethral resection while the patient is under anesthesia. This procedure allows the doctor to make an accurate diagnosis and determine the most-appropriate treatment.