Bladder Cancer Symptoms Can Be Overlooked in Women, Highlighting Need for Assessment
Bladder cancer affects both men and women, and symptoms such as blood in the urine, frequent urination and discomfort during urination can overlap with those of urinary tract infections and other conditions. Cancer Australia estimated approximately 3,345 new bladder cancer cases in 2025. Between 2017 and 2021, the five-year relative survival rate was about 57% overall, at approximately 50% for women and 60% for men. These figures highlight the importance of symptom awareness and timely medical assessment.Possible symptoms include blood in the urine, changes in urine colour, frequent or urgent urination, and pain or a burning sensation during urination. Some people may also experience reduced appetite, weight loss, or pain in the pelvis, lower abdomen or lower back. These symptoms are not specific to bladder cancer and may have other causes, so they cannot establish a diagnosis on their own.Blood in the urine warrants medical attention, even when the urine appears only slightly pink or rusty. People with persistent or recurring urinary symptoms, or symptoms that do not improve after treatment, should seek further medical assessment and explain any changes to their healthcare provider. Depending on the circumstances, investigations may include urine tests, imaging, cystoscopy or a biopsy to help determine the cause.Smoking is a major risk factor for bladder cancer. Age, family history and exposure to certain chemicals may also be relevant. Because urinary symptoms can have multiple causes, persistent discomfort should not be repeatedly ignored or automatically attributed to an infection. Anyone experiencing recurring symptoms should discuss further assessment with a healthcare professional and consider a second medical opinion if concerns about the diagnosis or treatment remain.