Blood in Urine? Don't Ignore It
Myth: no pain means no problem. Fact: even one episode of visible blood in the urine needs medical evaluation.
Read the myth: Blood in the urine is usually harmless if there is no pain? →Home / Myth Busters / Bladder cancer
మూత్రాశయ క్యాన్సర్ – అపోహలు, నిజాలు
Blood in the urine, even once and even without pain, is the most important early sign of bladder cancer, yet it is often dismissed or treated as an infection. This series answers the myths about causes, symptoms, tests, treatment and life after bladder cancer.
Symptoms that need a doctor's check
Read more: Blood in the urine is usually harmless if there is no pain?
Sudden or severe symptoms need emergency care: go to the nearest emergency department or call 108.
20 myths · Updated October 2026
Short videos on bladder cancer by Dr. Haritha Chiramana. Every myth is also answered in writing below.
Myth: no pain means no problem. Fact: even one episode of visible blood in the urine needs medical evaluation.
Read the myth: Blood in the urine is usually harmless if there is no pain? →Videos play from YouTube. General education only; they cannot replace an individual consultation.
Smoking is a major cause, but bladder cancer also occurs in people who have never smoked. Workplace chemicals and other factors can contribute.
Read the factsMyth #02 · Causes & riskBladder cancer is more common in men, but women get it too, and their diagnosis is often delayed because symptoms are put down to urine infections.
Read the factsMyth #03 · Causes & riskThe risk rises with age, but younger adults can also develop bladder cancer.
Read the factsMyth #04 · Causes & riskDrinking enough water is good for your health, but it doesn't eliminate bladder cancer risk. Evidence for a specific protective effect is inconclusive.
Read the factsMyth #05 · Causes & riskQuitting lowers your future risk, but former smokers can remain at higher risk for many years.
Read the factsPainless blood in the urine is the classic first sign of bladder cancer and needs prompt checking, even though many cases have harmless causes.
Read the factsMyth #07 · Symptoms & early detectionBlood in the urine often comes and goes. Its disappearance does not rule out bladder cancer or another important problem.
Read the factsMyth #08 · Symptoms & early detectionBurning is usually caused by infection. But burning that persists or keeps coming back, especially when urine tests show no infection, may need checking for bladder problems.
Read the factsMyth #09 · Symptoms & early detectionA single normal urine test, or a urine cytology test that shows no cancer cells, cannot reliably rule out bladder cancer.
Read the factsMyth #10 · Symptoms & early detectionUltrasound can find some bladder tumours, but it can miss small, flat or subtle ones. A cystoscopy remains the key test when it is needed.
Read the factsA diagnostic flexible cystoscopy is usually a quick outpatient procedure under local anaesthetic.
Read the factsMyth #12 · Diagnosis & treatmentTURBT (removing a bladder tumour through the urine passage) is a standard procedure for diagnosis and treatment. When properly performed, it does not ordinarily cause cancer to spread.
Read the factsMyth #13 · Diagnosis & treatmentMany bladder cancers that haven't grown into the bladder muscle are treated with TURBT, followed by medicine placed into the bladder and regular check-ups.
Read the factsMyth #14 · Diagnosis & treatmentRemoving the bladder is a standard option, but some people can keep their bladder with "trimodality therapy": TURBT, radiotherapy and chemotherapy together.
Read the factsMyth #15 · Diagnosis & treatmentSome early bladder cancers are treated with medicine placed directly into the bladder through a catheter. BCG, often used this way, is a form of immunotherapy, not chemotherapy.
Read the factsBladder cancer, especially the non-muscle-invasive type, often comes back. Regular cystoscopy checks, tailored to the risk, are essential.
Read the factsMyth #17 · Recurrence & quality of lifeAdvanced bladder cancer can be treated with chemotherapy, immunotherapy and newer medicines called antibody–drug conjugates.
Read the factsMyth #18 · Recurrence & quality of lifeMany people adapt well after bladder removal, with the right type of urinary diversion, rehabilitation and long-term support.
Read the factsMyth #19 · Recurrence & quality of lifeModern radiotherapy can preserve a working bladder in suitable patients, although urinary and bowel side effects are possible.
Read the factsMyth #20 · Recurrence & quality of lifeBladder cancer can return or progress without causing symptoms. Follow-up schedules depend on the tumour's risk, its stage and the treatment received.
Read the facts