The most common symptoms of bladder cancer include:

• Blood or blood clots in the urine (hematuria). Hematuria occurs in 8 or 9 out of 10 people who have bladder cancer and is the most common symptom. Usually it isn't painful.
• Pain during urination (dysuria).
• Urinating small amounts frequently.
• Frequent urinary tract infections (UTIs).

Symptoms that may indicate more advanced bladder cancer include:

• Pain in the lower back around the kidneys (flank pain).
• Swelling in the lower legs.
• A growth in the pelvis near the bladder (pelvic mass).

Other symptoms that may develop when bladder cancer has spread include:

• Weight loss.
• Bone pain or pain in the rectal, anal, or pelvic area.
• Anemia.

The symptoms of bladder cancer may be similar to symptoms of other bladder conditions.