Bladder Cancer Awareness Month: Understanding Risk, Symptoms, and Incontinence Connections

May is Bladder Cancer Awareness Month—a time dedicated to educating the public about the signs, risks, and realities of this often-overlooked disease. With more than 82,000 new diagnoses expected in the U.S. this year alone, bladder cancer is the sixth most common cancer nationwide. Still, many people don’t recognize the early symptoms or know how it connects to issues like urinary incontinence.

Let’s break it all down—from what causes bladder cancer to how to care for your bladder health, especially during and after treatment.

What Is Bladder Cancer?

Bladder cancer occurs when cells in the bladder begin to grow uncontrollably. Most cases start in the lining of the bladder and are usually diagnosed early when treatment is more effective. However, this cancer has a high recurrence rate, which makes long-term monitoring essential.

There are three main types of bladder cancer:

• Urothelial carcinoma (formerly transitional cell carcinoma): The most common, it begins in the cells lining the inside of the bladder.
  
  

• Squamous cell carcinoma: Often caused by chronic irritation, such as long-term catheter use or repeated bladder infections.
  
  

• Adenocarcinoma: A rare form that originates in glandular cells and is usually more aggressive.
  
  

Know the Risk Factors

Bladder cancer doesn’t discriminate, but some factors can increase your risk:

• Smoking: Tobacco is the biggest risk factor. Smokers are up to four times more likely to get bladder cancer.
  
  

• Chemical exposure: Workers in manufacturing, rubber, leather, dye, and petroleum industries may be exposed to carcinogens that affect the bladder.
  
  

• Age and gender: Bladder cancer is more common in people over 55 and affects men more often than women.
  
  

• Chronic bladder problems: Long-term bladder infections, inflammation, or catheter use may contribute.
  
  

• Family history or genetics: While not always hereditary, some genetic syndromes, such as Lynch syndrome, increase risk.
  
  

Symptoms to Watch For

One of the challenges of bladder cancer is that its symptoms are often mistaken for other, less serious conditions—especially urinary tract infections. If you’re experiencing any of the following symptoms, see a healthcare provider:

• Blood in urine (pink, red, or cola-colored)
  
  

• Pain or burning during urination
  
  

• Frequent urination or urgency, even when the bladder isn’t full
  
  

• Pelvic or lower back pain
  
  

• Difficulty urinating
  
  

The Overlap with Incontinence

A lesser-discussed effect of bladder cancer (and its treatments) is urinary incontinence. Many people assume leaks or loss of bladder control are simply signs of aging, but in some cases, they could be early signs of bladder disease.

Incontinence can also occur as a result of treatment:

• Surgery: Procedures like bladder removal or reconstruction may change the body’s natural urinary system.
  
  

• Radiation: Radiation to the pelvic region may cause bladder irritation, leading to urgency and leakage.
  
  

• Intravesical chemotherapy: This localized treatment involves delivering medication directly to the bladder, which can temporarily inflame tissues and disrupt normal function.
  
  

Understanding this connection empowers patients to advocate for the right support and products during treatment and recovery.

Coping with Incontinence During Treatment

Experiencing bladder leaks during or after cancer treatment can be physically and emotionally draining. Here are some strategies that can help:

1. Use High-Absorbency Products

Not all incontinence products are created equal. Look for options designed to handle moderate to heavy leaks, with features like odor control and skin-friendly materials. Products like TREST offer peace of mind and confidence during an otherwise stressful time.

2. Strengthen the Pelvic Floor

Pelvic floor therapy and Kegel exercises can help improve muscle strength and control. These exercises are safe and gentle, making them ideal during recovery periods. A physical therapist specializing in pelvic health can offer guidance on proper technique.

3. Bladder Training

A technique used to gradually increase the time between bathroom visits, bladder training helps reset the bladder’s signals. It’s often used alongside behavioral therapy and is especially helpful if urgency and frequency are your main symptoms.

4. Manage Fluid Intake

Stay hydrated, but be smart about when and how you drink fluids. For example, try cutting back on liquids a few hours before bedtime or avoiding bladder irritants like caffeine and alcohol.

5. Consider Medications or Surgery

If non-invasive options aren’t effective, speak with your doctor about medications or surgical procedures that can help control incontinence. You deserve to feel comfortable and in control of your body.

Emotional and Social Impact

Incontinence can be isolating, but it doesn’t have to be. Bladder cancer and its effects can impact confidence, relationships, and mental health—but you’re not alone.

Online forums, cancer support groups, and pelvic health specialists can provide community and personalized care. Don’t be afraid to reach out. Talking about it is the first step to finding relief and connection.

Prevention and Early Detection

While there’s no surefire way to prevent bladder cancer, you can take steps to reduce your risk:

• Quit smoking: The number one thing you can do to protect your bladder.
  
  

• Limit exposure to harmful chemicals: Especially if you work in manufacturing or industrial jobs.
  
  

• Hydrate: Drinking enough water helps flush out toxins.
  
  

• Eat more fruits and vegetables: A balanced diet rich in antioxidants supports overall health.
  
  

• Stay aware of changes: Pay attention to any shifts in your urinary habits, and don’t delay seeking medical advice.
  
  

Why Bladder Cancer Awareness Month Matters

By shining a light on bladder cancer, we can reduce stigma, encourage early detection, and support better outcomes. Incontinence doesn’t have to be a silent struggle—it’s often a sign that your body needs attention, and it’s worth talking about.

Whether you’re managing symptoms yourself or supporting a loved one through treatment, awareness can be life-changing.

Moving Forward with Confidence

Living with or recovering from bladder cancer presents a unique set of challenges, and for many, bladder control is one of them. But there’s power in knowledge—and even more in support. Understanding the early warning signs, staying proactive with your health, and finding incontinence products that fit your lifestyle can make all the difference in how you feel, physically and emotionally.

This May, use Bladder Cancer Awareness Month as a reminder to listen to your body. Advocate for regular screenings, especially if you’re at higher risk, and don’t downplay symptoms like urinary changes or bladder discomfort. If you’ve already been diagnosed, know that help is out there—not just to treat the cancer, but to improve your quality of life in the process.

And if you’re caring for someone going through this journey, your support matters more than you know. Encouraging open conversations about tough topics like incontinence removes stigma and helps your loved one feel seen, heard, and supported.

From medical breakthroughs to simple, everyday comfort solutions, we’re making progress. And with the right information and resources, you can face the season—and your health—with renewed confidence and strength.

TREST Supports You Every Step of the Way

At TREST, we know that life doesn’t stop when health challenges begin. That’s why we create products that meet you where you are—whether you’re actively undergoing treatment, recovering, or managing long-term bladder health. Our high-absorbency adult briefs and underwear are designed with real people in mind: soft, reliable, and discreet so you can live confidently.