Seeing your GP about bladder cancer

You should see your doctor if you notice a change that isn't normal for you. Or if you have any of the possible signs and symptoms of cancer.

Blood in wee (urine) is ths most common symptom of bladder cancer for men and women. So it's important to see you doctor if you notice blood in your urine. 

Most people with these symptoms don't have bladder cancer. They are more likely to be caused by other conditions such as a urine infection. 

It's important to make an appointment with your GP as soon as you notice any changes. You won't be wasting yours or your doctors time. If there is something more serious wrong like cancer, the earlier it's picked up the more likely it can be treated successfully.

Your doctor will ask you personal questions, try not to be embarrassed. They're used to discussing intimate problems. What you tell your GP is confidential.

Getting the most out of your GP appointment

You may have your appointment in person, over the telephone or as a video call. However you speak to your GP it can be difficult to remember everything you want to say. These tips will help you get the most out of your appointment.

Tips

• Write down your symptoms including when they started, when they happen and how often you have them.

• Write down anything that makes them worse or better.

• If you would prefer to only see a male doctor or female doctor, ask when you book the appointment - the receptionist will tell you if it is possible.

• Tell your GP if you are worried about cancer.

• Tell them if you have any family history of cancer.

• Have a friend or relative with you for support - they could also ask questions and take notes to help you remember what the GP says.

• Ask the GP to explain anything you don’t understand.

• Ask the GP to write things down for you if you think it might help - if you have a telephone or video appointment ask for the information to be left at reception for you to pick up.

What happens during your GP appointment

Your doctor needs to build up a picture of what's going on. So they will ask you some questions. These include:

• what symptoms you have
• when you get them
• whether anything makes them better or worse

They will ask you about your general health and any other medical conditions you have. During the appointment your doctor may want to examine you.

Depending on your symptoms your doctor might:

• be able to reassure you
• refer you to the hospital either for tests or to see a specialist

Ask your GP to explain why if they don't think you need a referral or any tests. They might ask you to come back in a week or two if your symptoms continue or don't improve with any treatment they give you.

Contact your doctor earlier if the symptoms change or get worse.

Tips for telephone appointments

You might have a telephone appointment with your GP instead of a face to face. You can watch a video with top tips for phone and digital appointments with your doctor. The video lasts 1 minute and 43 seconds.

Tests your GP might do

Urine sample

You may have to give a urine sample to be sent away for testing. This is to see whether your symptoms could be due to a urine infection. If you have a bladder cancer the urine may contain some cancer cells.

Internal examination

Your GP may want to examine you internally. This is because the bladder is very close to the bowel, the prostate in men, and the womb in women.

Your doctor puts a gloved finger into your rectum (back passage) or vagina to see if everything feels normal. They will refer you to a specialist (called a urologist) at a hospital if they think there’s any chance your symptoms could be due to a cancer.

Questions you might want to ask your GP

• Do I need to see a specialist? Is it urgent?
• When will I see them?
• Where will I see them?
• Will I find out about my appointments by post or telephone?
• Do I need tests? What will they involve?
• How long should I expect to wait?
• Where can I find out more about tests?
• Do I have to do anything in preparation for this test?
• When will I get the results and who will tell me?

Your GP might not be able to answer all of your questions. They will tell you what they can at this point. Not knowing is difficult to cope with and can make you anxious.

Speaking to a friend or relative about how you feel might help.

If your GP doesn't think you need any tests or a referral

• Can you explain why I don’t need to have tests or see a specialist?
• Is there anything I can do to help myself?
• Do I need to see you again?
• Who do I contact if my symptoms continue or get worse, especially during the night or at weekends?

What happens next?

Make sure you know what happens next. Make another appointment if your symptoms don’t clear up, or if they change or get worse.

How to find a GP

If you don’t have a GP, you can find a doctor’s surgery in your local area by going to:

Making an appointment

To make an appointment you:

• can telephone your GP surgery

• can book an appointment online through your GP surgery website (if they have one)

• may be able to use the NHS App

• may be able to go into the GP surgery and make an appointment in person

If it's difficult to get through to the GP surgery by phone try calling at a different time of the day. Or try calling on a different day. It could be particularly busy in the mornings or on a Monday. Although it can be frustrating you should keep trying. Some GP surgeries offer to call you back if you are in a telephone queue.  

You might be able to go to your GP surgery to book an appointment. But not all surgeries offer this service. It may help to see if your GP surgery has a website - this will explain the best way to get an appointment. 

You don’t have to tell the receptionist why you want to see the doctor, although sometimes it might help to explain your situation.

The reception team are trained in offering you an appointment with the most suitable professional at the right time. Depending on your symptoms, you might see another healthcare professional such as a nurse or physician associate first.

You may be asked to attend in person, especially if your GP needs to examine you. Or the receptionist may offer you a telephone or video appointment first. If your GP needs to see you after this they will ask you to make another appointment. The receptionist will give you a date and time for this. 

Accept a booked appointment even if you think it’s a long time to wait. You could ask about cancellations if you're able to get to the surgery at short notice. Check that the surgery has the right details for you, including your telephone number and email.  

Contact the GP surgery again if your symptoms change or get worse.