Why is bladder cancer more common in men, risks and symptoms? Expert commentary


Since men have higher smoking rates than women, this makes them prone to bladder cancer.

Dr Shrinivas RP, Consultant Urology at Manipal Hospital Whitefield discusses why bladder cancer is more common in men

Bladder cancer is more common in men than in women. Gender bias is evident in the development of bladder cancer in men. Having a family member with bladder cancer also slightly increases the risk.

Age is an important risk factor, with bladder cancer being more common in people over 55 years of age. Another major contributing factor is smoking, one of the biggest risk factors for bladder cancer. Chemicals from tobacco can build up in urine and damage the lining of the bladder. Since men have higher smoking rates than women, this makes them prone to bladder cancer.

Other factors that may put men at higher risk for bladder cancer include a sedentary lifestyle and unhealthy eating habits. People who work in industries are also at increased risk of developing bladder cancer as they are continually exposed to certain industrial chemicals (which are carcinogenic) commonly used in the dye, rubber, leather, textile and paint industries. These risk factors are associated with an increased risk of bladder cancer in both men and women.

However, men with their genetic predisposition, with other associated risk factors, are more vulnerable to developing bladder cancer than women. In women, it is considered that their hormonal differences protect them from developing this type of cancer.

Symptoms of bladder cancer

The main symptom is passing blood in the urine (hematuria), especially blood clots, which may appear bright red or the color of a tail. Some may experience episodes of frequent urination, painful urination, and back pain.

Diagnosing bladder cancer begins with a combination of tests and procedures. Your doctor will usually order some investigations in the form of ultrasound, urinalysis and blood tests, which will indicate the cause of the symptoms. They may also order imaging tests, cystoscopy, and biopsy to confirm and evaluate the extent of the cancer in your body. Therefore, if you notice blood in your urine or experience persistent urinary symptoms, see your doctor immediately for a thorough evaluation. Regular checkups and immediate attention to symptoms are key to early detection and successful treatment of bladder cancer.

While bladder cancer is more common in men, it is important to understand that both men and women can develop the disease. Therefore, everyone should be aware of the risks and symptoms. Quitting smoking is the most important step you should take to prevent risk, followed by making healthy adjustments to your lifestyle habits.

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