Urinary Bladder Cancer Average Cost

From 463 quotes ranging from $3,000 - 8,000

Average Cost

$6,000

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What is Urinary Bladder Cancer?

Urinary bladder cancer in cats is characterized by an abnormal growth of cells within the urinary bladder. The most common type urinary bladder cancer seen in cats is rooted from a tumor called transitional cell carcinoma (TCC). This type of cancer-causing tumor forms from the cells lining the thick wall of the bladder and can quickly spread to the lymph nodes, kidneys, lungs, and bones as well as adjacent urinary tract organs (vagina, prostate, urethra, ureters). Urinary bladder cancer is a rare disease in cats, as a near 1 percent accounts for all TCC feline cases, but this type of cancer is fast acting and deadly. 

Like most forms of cancer, urinary bladder cancer in cats is an abnormal growth of cells that has occurred for idiopathic (unknown) reasons. Urinary bladder cancer is most commonly seen in female cats around the age of seven, but is also seen in males. Urinary bladder cancer in cats mimics the same symptoms as a bladder infections, which makes it critical for pet owners to have their feline examined by a veterinary medical professional. 

Symptoms of Urinary Bladder Cancer in Cats

The first signs of urinary bladder cancer mimic those of a bladder infection and most pet owners interpret straining to urinate, frequent urination, and urinary incontinence as a simple bacterial infection. Urinary bladder cancer, however, easily spreads to other areas of the body and may soon show the following symptoms:

  • Bloody urine
  • Urethral obstruction causing an inability to urinate
  • Pain upon palpation of the back or pelvic regions
  • Weakness
  • Exercise intolerance
  • Polydipsia
  • Polyuria with only a small amount of urine passed
  • Vocalization upon urination 
  • Coughing 
  • Difficulty breathing
  • Vomiting
  • Anorexia
  • Weight loss

If the feline has an obstructed urethra, the cat will have a full bladder without the ability to urinate, which becomes an emergency situation instantly. If your cat is continuously going to the litter box to urinate and no urine has been passed, seek emergency veterinary help immediately. 

Causes of Urinary Bladder Cancer in Cats

Urinary bladder cancer in cats, as well as in all other mammals, occurs for idiopathic reasons. Cancer itself is the result of mutated cells upsetting the body’s routine regulation of cell replacement, but the particular reason why this happens is not straightforward. Veterinary specialists have reported that obese felines have a higher chance in developing the disease, but excessive weight is not directly linked to this condition. 

Diagnosis of Urinary Bladder Cancer in Cats

Diagnosing urinary bladder cancer in cats begins with a physical examination, blood tests and urinalysis to rule out the possibility of a urinary bladder infection. However, a urinalysis can also detect the signs of urinary cancer too, as traces of cancer cells can occasionally be found in the urine. A feline’s blood work often has a normal result even if he or she does have urinary cancer, but a blood analysis is helpful to evaluate other organs the cancer may be affecting. Your veterinarian may choose to perform a VBTA test, or veterinary bladder tumor antigen test, a type of urine screening test to detect a bladder tumor. The VBTA test will either show a positive or negative result. If the result is positive, your veterinarian may proceed to perform the following diagnostic exams: 

Ultrasound

An ultrasound of the abdomen can help the veterinarian determine the size, location and activity of the tumor inside the bladder.

X-ray

An x-ray may be used to detect where the cancer has spread throughout the body, but may prove ineffective for locating the bladder tumor itself without a highlighting element (cystogram).

Cystogram

A cystogram is a test that introduces a special dye that will highlight the insides of the cat and highlight the tumor on x-ray. 

Biopsy

Once the tumor is located, a biopsy can be taken from the mass to evaluate if it is malignant or benign.  

Treatment of Urinary Bladder Cancer in Cats

Treating urinary bladder cancer in cats can be attempted through surgical removal of the tumor, chemotherapy and/or radiation therapy. 

Surgical Treatment

Surgically removing the bladder tumor is only possible when the mass is located in a non-invasive area. If the tumor is found within the urethra or ureters, as in most cases, surgical removal would not be advised for these are vital structures. In that case, the veterinarian may perform a debulking surgery which would simply reduce the tumor in size. Debulking is only a temporary treatment to alleviate symptoms, as the mass will continue to grow back. 

Chemotherapy Treatment

The perfect chemotherapy drug mixture is still to be decided for effectively treating urinary bladder cancer, as less than 20 percent of felines respond to the current protocol. 

Radiation Therapy Treatment

Radiation therapy has proven to be more effective than chemotherapy in treating urinary bladder cancer in cats, but radiation rays often damage urinary structures.  

Treatments for urinary bladder cancer in cats are performed to give a feline a better quality of life, but there is no cure for this disease. 

Recovery of Urinary Bladder Cancer in Cats

Whether you choose to seek treatment for your cat’s urinary bladder cancer or not, the overall prognosis for an affected cat is poor. Cats that have received treatment are estimated to live between six months to a year, whereas untreated cats often pass at four to six months. 

Your veterinarian may prescribe an anti-inflammatory drug, such as pirioxicam, to relieve bladder pain and provide a better quality of life for your cat. Ask your veterinarian about the best recovery and management options for your cat, as each urinary bladder cancer case is different. 

Urinary Bladder Cancer Questions and Advice from Veterinary Professionals

Emma
Long haired tabby
21 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Increased thirst, no eating or drin
Increased thirst

My cat was diagnosed with bladder cancer via ultrasound about one year ago. I’m trying to determine when I should euthanize her now. Her most recent ultrasound should a large tumor filling the bladder and ascites. It was a targeted exam so I didn’t see hydro or liver mets.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
This is not an answer I can give you, you need to decide based on Emma’s quality of life and other factors whether the time has come or not; if I could examine her and see ultrasound blood tests etc… I may make a suggestion but without at least an examination I am not in a position to advise you; however, if you are already thinking about it then it may be the time. Regards Dr Callum Turner DVM

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Sweet Pea
DMH cat
19 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Crying when trying to use the box

Our 19.5 yo DMH cat Sweet Pea has a small localized tumor in the anterior bladder Wall (not the trigone). No adenopathy seen on sonogram. She is feisty and active otherwise but struggles to pee and poop. She cries and goes in and out of her boxes as she struggles. This has been going on for about 2 months. UA was negative and sono was today. Do you think it is crazy to consider surgery for a cat this old. She is down to 9 pounds, but really active all day long. We will be talking to our vet tomorrow and we will ask to see a surgeon. She has no other Med problems. Hearing her cry and struggle is very difficult, though. Thank you.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
I'm honestly not sure that bladder surgery is the best thing for Sweet Pea at her age, but it depends on her overall health and condition. She may benefit from pain medication or an anti-inflammatory medication as well. This would be a good conversation to have with your veterinarian, as they know more about her overall condition and can advise you as to whether surgery is fair for her at her age.

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Cookie
Domestick shorthair
18 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Straining To Urinate
Little urination

My cat just turned 18. We had 2 major snow storms. Back to back that knocked out our power for a week during that time period I noticed he was having a problem p eeing he would go on but nothing would come out, He's struggle but no crying no blood no going outside the box he's still eating drinking and plays with the other cat. No signs of lethargy. Took him to one vet who basicallly did an exam told me he had bladder cancer and there was nothing I could do. Got a 2nd option because my gut was telling me they were wrong saw the 2nd vet he goes it could still be stomach cancer but it could also be a sevier bladder infection. They have him fluids an antibiotic and something else. They don't see any rumors stones or blockages he was fine before the storm and then after is when he started to have a problem

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Without examining Cookie I cannot say what the specific cause is for the symptoms; an x-ray or ultrasound would be useful to check the urinary bladder and the rest of the abdomen to look for masses or any other abnormality. In older cats, there are many possible causes for urinary issues which may also include spinal issues causing the sphincter to not relax to allow urination; give treatment as prescribed by the Veterinarian and monitor for improvement. Regards Dr Callum Turner DVM

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BJ
dsh
15 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Blood In Urine

Medication Used

gabapentin post surgery

My 15.5 yo DSH cat BJ just had bladder surgery to remove a mass later identified to be transitional cell carcinoma. It was not in the trigone area.

Although the mass was successfully removed, the pathologist's report stated the following: "This mass is a transitional cell carcinoma that is predominantly exophytic at this point and also spreading along and replacing the normal urothelium adjacent to the mass. Local recurrence is likely. There will likely be metastatic potential as well with common sites of metastasis including lymph nodes, liver and bone. Mitotic activity is low (two mitoses per 10 HPF). The cells are spreading along the urinary bladder mucosa and extend to the surgical margins. There is not yet evidence of significant invasion into the submucosa and no evidence of invasion of muscularis." His diagnosis was urinary bladder transitional cell carcinoma, low to intermediate grade, incompletely excised.

I have two questions, the first regarding the definition of metastasis. Does the TCC cell spreading in the bladder equal metastasis? You wrote to another commenter: "If the transitional cell carcinoma was removed with good margins and no metastasis, then prognosis is excellent; time and histopathy will tell." Since in BJ's case the TCC cells are spreading in the bladder and extended to the surgical margins, would this be considered metastasis? I am wondering if "good margins" means no cancer cells evident and if because of their presence, BJ's prognosis is consequently poor. We are trying to decide whether to give BJ piroxicam or piroxicam along with chemo beginning in another week.

BJ had slight visible blood in his urine occasionally for a few days following surgery, which I was told was to be expected. He has finally been allowed out of confinement and has had several normal urinations and defecations in his litter box. Just this morning, however, along with defecating, he had blood in his urine again. Is this still acceptable one week post surgery or should I be worried? He is acting normally, but then again, the only sign before diagnosis was very occasional blood in urine. He didn't exhibit any of the other signs commonly associated with TCC, and his mass was found incidentally.

Any advice would be greatly appreciated.

Thank you.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
I'm sorry that that is happening to BJ. From your description, the cancer may not have metastasized, as that means it has spread to a different location, but with this particular cancer, it seems to be moving and travelling, and the chance that it will recur at the same spot is high. If Piroxicam and chemotherapy will increase his chance of long term survival, that would probably be his best option, but your oncologist will be able to advise more on that. The blood in his urine might be a little worrisome if it was gone after surgery and started happening again, and a urinalysis would be a good idea to see if things are moving more quickly than expected. I hope that he is okay.

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Henry
tabby
11 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

drinking very little no bowel movem

Henry is 11 years old. He was diagnosed with a UTI a month ago..We took him in because he was spraying..which he never had before..and there was blood. On Wednesday of this week he starting spraying again and there was blood again. It was noticed that he was having pain while in the box. On Thursday our vet diagnosed Henry with a cancerous tumor in his bladder and advised there was nothing more that could be done due to where the tumor is and the age of Henry. We were told to make him comfortable and watch for signs of bad quality of life..not eating lethargy and especially no urination. Today is Saturday and he only urinated twice, both times very bloody. He has been eating but drinking very little and he hasn't had a bowel movement in days. I don't know what to do..it is sad to see him so inactive but yet he is still cleaning himself. His urine smells very bad..Do I put him down before the pain gets worse?

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Tigger
Calico
5 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Weight Loss
Peeing outside of Litterbox
Vomiting
Blood In Urine

My cat was diagnosed with bladder cancer back in October 2017. She was very bad at the time — bloody urine, she couldn’t pee, she was vomiting, etc. Since then, she has not experienced any of these symptoms. We had started feeding her nutritious food that is supposed to help with her kidney and liver. Is it possible that she may have beaten the cancer? Our family can not afford a trip to the vet unfortunately so we are not sure of what’s going on. Thanks

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Cancer doesn’t get cured by dietary changes but the changes and any other immediate treatment may have helped alleviate symptoms; transitional cell carcinoma is an aggressive malignant tumour which the most common urinary tract cancer in cats. I would recommend visiting a charity clinic or reaching out to a nonprofit for help getting Tigger examined so that you can compare how things are now with October 2017. Regards Dr Callum Turner DVM

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Ling
Domestic longhair
18 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

tumor

My 17 1/2 year old male neutered cat had a bladder tumor removed 12 days ago. It was a surgical resection and they got it all out with good margins around the tumor. He is out of pain and recuperating well and is having his stitches removed in 4 days. He is urinating more often due to the surgical resection of the bladder. Vet says in 6 weeks, the bladder will stretch out and become bigger and he won't need to urinate as often as post surgery. No metastasis were visible in ultrasound or Xrays and the tumor was not in the trigone area. I wonder why his belly is getting fatter so soon, he is eating and drinking pretty, and also has been a diabetic since 2013 and I have been giving him Lantus Insulin injections for 4 1/2 years twice per day of about 3-4 units each injection. Is a full belly normal or could it be anything having to do with the surgery? What are the chances of TCC showing up somewhere else when it didn't with all the scans and ultrasounds we have done up to the surgery point? Another specialist did an ultrasound guided biopsy a month ago so I don't know for sure if there was any possibility of "seeding" from the biopsy through the abdomen to the bladder but these were oncologist vets at each facility and I only moved him to a better one for the surgery because the 1st place didn't want to attempt removal of the surgery due to my cat not responding well to anesthesia on a first attempt back in January. So, I found a better vet/doctor who specializes in oncology surgery only and it was a total success. The removed tumor was mineralized and "pokey" and was cutting his bladder making him pee blood. He is out of all that pain now and urinating with no blood anymore because the tumor was fully removed. How long can he live? - biopsy said it was TCC.

Read more at: https://wagwalking.com/cat/condition/urinary-bladder-cancer

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Swollen abdomen may be caused by some inflammation from the surgery, however it is not possible for this abdomen to be full of metastasis or other tumours so soon after surgery; if there were any other tumours, they would have shown up at some point during x-ray, ultrasound or surgery. If the transitional cell carcinoma was removed with good margins and no metastasis, then prognosis is excellent; time and histopathology will tell. Regards Dr Callum Turner DVM

We discovered that Ling went into Congestive Heart Failure and was filling up with Abdominal and Thoracic area with fluid. He was put on Lasix and Altenolol and is still taking these medications but pees alot like before the bladder surgery. Recently he was getting constipated and went to our regular vet who said Ling's bladder felt more like a "sand bag" than a water filled pliable bladder should feel. He is afraid the bladder is abnormal and assumes the TCC is back possibly, just 3 months after his successful surgery. We are going next week to the same vet who did the surgery (oncology vet) and getting another ultrasound. Last ultrasound was done before the surgery in February. Can they see why the bladder feels thickened to our regular vet? He thinks it is causing Ling to get constipated, the way the heavy bladder interacts with the intestines, he didn't prescribe anything for the constipation. Can constipation be caused by too much Lasix? Ling is going down in weight and is only about 8 lbs and 12 ounces when he was 9 lbs 8 ounces just a month or less ago. Can the altenol and lasix be causing his feces to be hardened? Like cement? He also pees alot and has started to be unable to hold it and has been sometimes going on our carpet again just like he did before his surgery? What could be wrong with his bladder now?

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M
Persian
4 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Vomiting

A year ago, my cat’s ultrasound showed growth in her bladder. 26/7 the growth was much bigger. Previously they ruled it as UTi and now I was told that she had a tumor in her bladder.

My cat just turned 4 years old in May. Doctor was unable to give piroxicam as they do not have it at the moment so an alternative was given for now until they have stock of that med (an injection), and anti-inflammatory plus antibiotics.

After her injection and starting the medication, my cat start vomitting frequently. Partially food and water but frequently. I was told to reduce her food intake but in increased frequency like once every 3-4 hours. Before the injection and medication she wasnt like this.

Is there a reason for this happening so quickly? Doc said it might be a progression of her condition. Is it just a coincidence it happened after her shots and medication? Did I somehow cause it to progress faster by giving her meds? Its all happening so quickly and its very upsetting.

What should I expect now and prepare for?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Vomiting and gastrointestinal upset in general are common side effects of many medications, you mentioned that there wasn’t any piroxicam but didn’t mention the name of any other medications given. I would follow your Veterinarian’s instructions by give frequent small meals and find out which medications were prescribed and check the product labels for side effects. Regards Dr Callum Turner DVM

Ask your vet if it would help to use a cat-sized dose of an acid reducing medication like Prevacid. My cat can't take meds without the reduced dose of omeprazole. Hope this helps.

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Tommy
Street cat
2 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Straining To Urinate
Bloody Urine
Polyuria with small amount of urine

Medication Used

Kotervin
Vitamin c
antibiotics

My cat has been urinating with difficulty and there is blood in his urine. I took him to vet twice,they gave some medications and I changed his dry food to a prescribed food and each time he got better for 2 days and then again started to show symptoms. There were some crystals in his urinary tract. He pees on my bed all the time and it's been near a month! And now I think when I touch his back,where his tail starts, he tries to stop me, like he has pain! He is sterlized.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
I'm sorry that Tommy is having that problem. There are other causes for blood in the urine in cats, and he may need a urine culture, or an ultrasound to evaluate why this is happening and not resolving. Urinary issues can be quite painful for cats, and he may need pain control as well. It is important to make sure that he is continuing to urinate until this is resolved for him, as male cats can form urinary blockages that are life-threatening. If at any point he isn't urinating, and is straining, that is an emergency. Until then, a recheck with your veterinarian would be best as he doesn't seem to be responding to normal therapy.

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Ling
Main Coon
18 Years
Serious condition
2 found helpful
Serious condition

Has Symptoms

Thick feeling bladder, pees a lot

My cat is 18 and had a TCC bladder tumor removed in late February. Ten days after surgery he developed Congestive Heart Failure and is now on Lasix 10 mg and Atenolol 1/4 tab every 24 hours both in pill form.

We discovered that Ling went into Congestive Heart Failure and was filling up with Abdominal and Thoracic area with fluid 10 days after his bladder cancer surgery. It was a TCC tumor. Vet got the entire tumor with good margins. After he went into CHF 10 days later resting and recovering at home, he was put on Lasix and Atenolol and is still taking these medications but pees a lot like before the bladder surgery due to a smaller bladder plus being on Lasix. Recently he was getting constipated and his feces was extremely hard like a rock for a few days when he would go so we went to our regular vet who said Ling's bladder feels more like a "sand bag" than a water filled pliable bladder should feel. He is afraid the bladder is abnormal and assumes the TCC is back possibly, just 3 months after his successful surgery. He is our regular vet and not the emergency specialist we had the surgery and aftercare at. We are going next week to the same vet who did the surgery (oncology vet) and getting another ultrasound. Last ultrasound was done before the surgery in February. Can they see why the bladder feels thickened to our regular vet? He thinks it is causing Ling to get constipated, the way the heavy bladder interacts with the intestines, he didn't prescribe anything for the constipation. I began using MetaLax 1/4 tsp mixed in AD emergency diet and force feed it in a syringe to him to get the MetaLax down him. Can constipation be caused by too much Lasix? Ling is going down in weight and is only about 8 lbs and 12 ounces when he was 9 lbs 8 ounces just a month or less ago. Can the Atenolol and Lasix be causing his feces to be hardened? Like cement? He also pees alot and has started to be unable to hold it and has been sometimes going on our carpet again just like he did before his surgery? What could be the reason he is losing weight and having a thickened sandbag feeling bladder? Also, my cat is a diabetic and has been receiving 7 units of insulin (every 12 hours) on Lantis for over 5 years now.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
There are many things going on here but Ling seems to be doing well in spite of everything else. However, it is possible that that Lasix (furosemide) is causing some constipation due to the increased fluid loss through urination; I would recommend adding some plain canned pumpkin with the A/D food to help increase the fibre intake which should help soften the stool. You should return to the oncologist for an examination and ultrasound to determine whether there is a recurrence of the transitional cell carcinoma or not. Regards Dr Callum Turner DVM

We had an ultrasound of the bladder yesterday and there is no evidence of the TCC tumor returning at all. The bladder feels heavy due to constant urine and a weakened sphincter muscle at the opening of his urethra and that is all the vet could tell me about that. I think he is losing weight due to the Congestive Heart Failure and we have him on two heart meds now.. Vet prescribed Vetmedin/Pimobendan 1/2 tab crushed into food or a syringe with water and administered every 24 hours. Vet said this is prescribed mainly for dogs but it has been demonstrated to be helpful in cats so he prescribed it. Ling is losing weight and vet said it is due to the heart function and stress on the body. The bladder cancer was the reason for this crisis and now it has turned into a heart issue. Now I am being told that a heart murmur is a prerequisite for CHF if a cat goes into a surgery or has that sort of stress operation which can send the heart function into a downward spiral which is what has happened to Ling. I hope for more time, I love this guy he is a real family member and it will be upsetting when he is no longer with us and I don't know how this is going to end. Vet said to consider euthanasia but that is a hard one for us.

I feel lucky the TCC did not come back and it is really upsetting and sad that 10 days post surgery, he developed Congestive Heart Failure. He did have a galloping heartbeat pre-surgery but no vet warned me that this could occur due to the stress of the bladder cancer surgery. The cancer is gone for now after 3 months of the tumor removal but the Heart condition is going to reduce his life now instead of the cancer.

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Boo
Calico
16 Years
Critical condition
1 found helpful
Critical condition

My female cat was diagnosed with kidney disease about 2 months ago. Shortly after I found out she also has bladder cancer. The tumor is too large to remove, or do chemo or radiation. She was being treated for UTI’s the past year and I had no idea she had cancer. I’m just sick about this. What causes bladder cancer? I’ve always taken excellent care of her and the best food there is.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Bladder cancer (transitional cell carcinoma is the most common) is uncommon in cats in comparison to dogs; it is thought that this type of cancer is formed by tryptophan metabolites which accumulate in the bladder and are known carcinogens. Treatment for transitional cell carcinoma can be tricky due to position of cancer in the bladder as well as other factors such as age and general health; piroxicam has shown some success in dogs but there is no evidence of success in cat but a therapeutic dose is published and may be a course of action if you discuss with your Veterinarian, check the DVM360 link below. Regards Dr Callum Turner DVM https://wagwalking.com/cat/condition/transitional-cell-carcinoma http://veterinarymedicine.dvm360.com/just-ask-expert-transitional-cell-carcinoma-bladder-and-piroxicam

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Mango
dsh
18 Years
Critical condition
1 found helpful
Critical condition

Has Symptoms

Drinking only small amounts of water
Drinking small amounts of water,
Drinking only small amounts of wate

Medication Used

Buprenorphine

Male cat had blood work done on Monday after I reported blood appearing in the form of two drops in the cat's urine, small drops of urine and sitting in litter box for long periods of time and only producing a drop or two. Received call back from vet to bring cat back today, two days after his exam, to be tested for UTI. This is where things got bad. Ultrasound brought in when techs couldn't get into the bladder for urine. Urine was so sparse and the Ultrasound showed why. My 18 year kitty has a large tumor blocking the opening, and taking up large amount of space in bladder . Vet says surgery would not work and that the cat may have 3 weeks left of life. He has been put on painkillers but I worry about how awful it must feel not to be, able to get the urine out fully and want to know if his pain meds would ease all his pain.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. I'm sorry that this is happening to Mango, that is very sad. If he is unable to urinate, I agree, that is terrible. If he is able to urinate and can be kept comfortable, pain medications may help. It would be best to discuss with your veterinarian what his quality of life might be, and what the best options are for him.

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Madsocks
Feline
17 Years
Critical condition
0 found helpful
Critical condition

Has Symptoms

Bladder Cancer

My beautiful Madsocks was 17 1/2 years old; On Monday - I found a spot of blood and he was eating less food. I would cradle him in my arms and wash his paws looking for a cut and he would just purr. On Tuesday - I found a couple more spots of blood, he also was not eating or drinking much, late Wednesday night - he started urinating blood and still not eating well, and completely stopped drinking. Thursday morning I took him in to see the vet hoping it only was just a UTI. He was still himself, trying to jump off the examination table. 7 hours later I get the dreadful call that its bladder cancer (the whole bladder) and his kidney was shutting down. When I went back to the office for my last hugs and kisses, he was no longer the cat I had, but just a ball of fur that could no longer stand on his own, I hated seeing him like this. I asked what happened to him & they told me he went downhill after i left, he was just being strong for me. I had to make the dreadful painful decision to put him down. I asked if he could be put on meds., but the vet told me it would not stop the bleeding. All I want to know is, could he have lived on pain meds. without any pain and does it hurts them when they are losing blood? I just wanted him to die in my arms at home. It makes me feel so guilty, I wish there was there was something more I could of done for him.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Bladder cancer is a very serious condition and when it gets past a certain point, then it really comes down to palliative care which at times isn’t ideal because you will still have all the other symptoms. Each case is different, but if the whole bladder was affected instead of one area then I believe you made the right decision for Madsocks, factoring in his age and symptoms. Regards Dr Callum Turner DVM

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Mister Dave
short-haired tabby
17 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

polyp in bladder via ultrasound
sore bladder
Painful Urination
Straining To Urinate

At midnight, Mr. Dave was straining to urinate and vocalizing which hasn't happened in 10 years. I took him to overnight ER and they gave us a pill of gabapentin 25mg, and we went home. We were at the opening of our regular vet's office and the opinion was that he had crystals, but his labwork and urine didn't agree. The vet did an untrasound and found a polyp in his bladder near the head, which was causing the blockage. Since my cat survived thyroid cancer, my vet wants to try the antibiotics and gabapentin and renal diet (that my cat has refused repeatedly to eat). His appetite and water intake are fine. Only once have I had to assist him express. Thank you google! I believe it's cancer due to previous symptoms of coughing, repeat rhinitis. When the gabapentin doesn't have him conked out, he seems like his normal relaxed mellow self. The vet did not get a conclusive diagnosis when he inserted a needle in the bladder to try to get cells..maybe he didn't hit the tumor, I didn't see that part. I don't want his life extended if this is cancer and he's going to be zoned out on painkillers while he slowly dies. He's a high risk for surgery and the polyp is in a poor location at the head of the bladder. Am I doing the right things for my little friend?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
It is unfortunate that tumours and benign growths in the bladder occur at the neck which makes emptying of the bladder difficult and makes surgical removal more tricky; I cannot say specifically whether it is a benign polyp or something more serious. You may always send the ultrasound images to a board certified Radiologist (PetRays) for a second opinion. Regards Dr Callum Turner DVM http://petrays.com/specialists/radiology/

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Fin
Feline-DSH
17 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Fatigue
Blood In Urine

My 17y male feline, Fin, who, has been Insulin dependent for 9y) had some blood in his urine today. Both the Vet and I thought he might have a bladder infection (he only had one other time (9y ago when first dx w/Diabetes). When she did the ultrasound to get the urine by needle asp. She saw a tumor finger like projections from interior bladder wall. Did not do the asp. and said she was 95% sure was Transitional cell Ca. Fin had full blood work at his annual 2.5m ago.
The Dr. said could take 1-2m to get into oncologist for assessment. I a wondering how well he will be in 1-2m. The earliest I can get him an appt. w/his primary is 1.5wks. Am worried about him developing a bladder infection while we wait

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
A cat with transitional cell carcinoma isn’t more at risk of bladder infection, you should wait for an appointment but with Fin’s age there may be limited options available for treatment or management. Piroxicam may be used for treatment in the short term, but its efficacy isn’t as established as in use with dogs; you should discuss the options with your Veterinarian while you wait for an appointment with an Oncologist. Regards Dr Callum Turner DVM

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Brooklyn
Calico
6 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Muscle Atrophy
Lethargy
Blood In Urine

Medication Used

Clavamox antibiotic- oral

My cat was a shelter cat her entire life up until March when I got her. Her muscles had atrophied from what I had assumed been living in a cage with only enough room to turn around. She also had blood in her urine that I didn’t notice until she peed on her litter box bag (didn’t notice any discoloration in her litter prior) so I took her to the emergency vet. After an ultrasound the vet said there are two “sizable masses” in her bladder (about 1cm/ea) that they detected. They took blood and a urine sample and I will know more in a few days. They prescribed some antibiotics in case it’s a UTI.

The vet said it could be a polyp, but i kind of need a more direct answer to prepare myself. How likely is it that it’s cancer? And If it turns out to be bladder cancer what are her odds of a full recovery vs. metastasis?

And is putting an animal through chemo/radiation fair to the animal if she won’t live past a year as the description above states?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
It is less likely in a 6 year old cat that it is cancer, and could be due to chronic inflammation from an untreated UTI, and bladder cancer in animals tends to happen more at a specific location, but it isn't possible to say for sure without knowing more about her lab results. Recovery from bladder cancer is unlikely, but there are some treatment options that can help. At this point, I would think positively, and treat her UTI, and wait for lab results. I hope that everything goes well for her.

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Sonic
Bengal
16 Years
Serious condition
1 found helpful
Serious condition

Has Symptoms

Peeing blood

Medication Used

Pain medication, prednisilone, antibiotic

Sonic was diagnosed with lymphoma 1.5 years ago and still in remission. Dropped the clorambasil and cut back on the prednisilone. He started peeing blood, straining and appeared to be in pain. I rushed him to the ER and they said he had a large clot in his bladder, gave him a long acting antibiotic shot,subcutaneous fluids and pain medication. The next day I noticed him staggering and suspected anemia and rushed him back to the ER where he got several blood tests and reconfirmed a bladder clot. Test showed severe anemia and abnormal potassium levels. All else was normal. He is staying at the ER and had a transfusion which didn't bring his levels up enough so will get a 2nd transfusion. They will take urine (free catch and sterile) to check for UTI. I will also get a more extensive ultrasound to see if the clot is hiding a tumor. He is on IV fluids and an herbal supplement to help stop the bleeding. Would like your opinion to see if any other suggestions.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
It seems that your veterinarian is covering all the bases for Sonic, and they are trying to get to the bottom of the cause for the clot. I hope that they are able to find something that is curable for him.

Thanks. They did find bacteria in his urine that the current antibiotics are not addressing so sent the urine sample out to determine what antibiotics he should be getting. I am hopeful this does the trick.
Side note: on reading many of the owners notes I think the vetake of some have been too quick to make a cancer diagnosis. My opinion is would be best to confirm with a vet oncologist or take to an ER clinic who are good at triage and testing.

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Twiggy
Siamese
16 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Tumor like mass
Weight Loss
Incontinence

I received my Siamese at an older age she would frequently run out of the litter box and meow. I associated much of her noice becaus she is a very vocal cat. Lately she has been urinating in random spots and I just assumed old age was a factor and a recent move. Within the last week she has begun urinating in her sleep and wishing the last few days a mass quickly developed and opened on her back paw. Could this all be cancer related? I work in healthcare and have been cleaning and changing her bandage as well as applying a silver antimicrobial wound gel. I will be taking her to the vet as soon as I can. I am hoping for some info in the meantime.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Urinary incontinence may be caused by a variety of issues which may include infections, urinary stones, spinal trauma, nerve inflammation, bladder cancer among other issues. Make sure that you regularly clean the wound on the paw and clean her when she urinates on herself. I cannot say what the specific cause is but urinalysis and a thorough examination would help. Regards Dr Callum Turner DVM

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Lily
Domestic shorthair
17 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Straining To Urinate
Blood In Urine
UTI That Returns
Urgency to Urinate

Medication Used

Covenia
Gabapentin

My 17 1/2 year old female was just treated for a UTI (suspected) with a shot of Covenia. (I think that is what it is called.) She had been previously visiting the litter box often and had blood in her urine, so I took her right in. The Covenia helped her for over a week, and her symptoms left. She went back to old kitty. Great appetite, running through the house, as usual.

This morning, she was on my lap and jumped off quickly to use the box with hardly any urine coming out. (Yesterday was fine.) Can this be a bad sign like cancer? (Additional info—she had multicentric lymphoma in 2013 and has been in remission over four years. The vet hospital calls her the miracle kitty.)

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
There are a few possible causes for urinary difficulties which may include infections, inflammation, cancer, urinary stones among other causes. Without examining Lily I cannot say for certain what the cause is, but if she cannot pass urine you should take her to your Veterinarian as soon as possible to determine a cause and decompress the bladder. Regards Dr Callum Turner DVM

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Naomi
Domestic shorthair
9 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Fatigue
vocalization during release
Bloody Urine
Pain When Lifted
Diarrhea
Vomiting

I adopted a 9 yr old cat from the Humane Society about a month ago and she progressively has become sicker and sicker. In the beginning she walked with a flick in her back tail and not very active. Now being a nine yr old, I thought that was normal, however, she began to not be able to extend her back legs even when she was walking as well as screech when anyone touched her hind area. Now, in between throwing up anything she eats and have constant diarrhea, she is urinating blood and just laying down.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Given the number and severity of symptoms that Naomi is presenting with, you should visit a Veterinarian for a thorough examination as there are various causes for the symptoms you’ve described and especially given her age we need to make sure that there aren’t signs of urinary bladder cancer, kidney disease among other causes. Regards Dr Callum Turner DVM

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Stripes
American Bobtail
14 Years
Critical condition
1 found helpful
Critical condition

Has Symptoms

Frequent Urination

Our vet said our cat probably has a bladder tumor. She has had bloody urine for months. I work for the vet part time so he allows me to bring home injections of Dexi am deathly Convenia about every 10 days. She is also a diabetic and we give her insulin injections 2x a day. Over the course of the last week or so it seems as though she can't empty her bladder. She strains to urinate and only drops come out. We are worried that if the tumor is preventing her from being able to empty her bladder she will become increasingly more uncomfortable and possibly become blocked altogether. She is 14 years old, so we don't want to operate since the odds of them being able to remove the tumor aren't good to begin with. Is there anything else we can do for her?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
It would be useful to confirm the presence of a urinary bladder tumour with imaging studies which would also confirm the specific location of the tumour; transitional cell carcinomas for example like to form around the neck of the bladder which can cause issues with urination when the condition has progressed enough. I would speak with your Veterinarian about piroxicam or meloxicam therapy to see if there is any improvement overtime. Regards Dr Callum Turner DVM http://veterinarymedicine.dvm360.com/just-ask-expert-transitional-cell-carcinoma-bladder-and-piroxicam www.research.ed.ac.uk/portal/files/14626935/Clinical_features_survival_times_and_COX_1_and_COX_2_expression_in_cats_with_transitional_cell_carcinoma_of_the_urinary_bladder_treated_with_meloxicam.pdf

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Kitty
tabby
15 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Blood In Urine

Hello, my cat began having blood in her urine in January. At that time they removed a tumor and it was diagnosed as TCC. They felt that they got it all but explained that this type of cancer would likely come back within weeks or months. It has been eight months and she now is has blood in her urine again and ultrasound showed a small mass which may or may not be a tumor. They said it could be a blood clot. They gave her an anabiotic injection in case of uti, which was three days ago but she is now going more frequently and there is what appears to be a large drop of bright red blood on top of each clump. Before they removed the tumor in January she was beginning to get very ill and needed a blood transfusion. I hate to see her go through any of this again not to mention it was quite expensive at about $5000. I would very much appreciate an honest opinion as to what her prognosis would be if this is a cancerous tumor again. Thank you.

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Nibbles
short hair
11 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Blood In Urine

Nibbles is 11 years old,since December she has been on several antibiotics for blood in her urine. The blood seems to go away for a few days after she finishes her meds. She has lost about 2 or 3 pounds since the blood started. She's still active, but strains and sits in the cat box along time. We had a ultrasound done(she peed just as they took her to do it) they said they didn't see any stones or crystals, but their was a thicker side of her bladder. I've had her since she was born and she's never peed outside the litter box but has recently started to. What do you think?

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
It is possible that Nibbles has a sterile cystitis, idiopathic inflammatory cystitis, or cancer in the bladder lining. If she has not had a thorough urinalysis run, those can tell a lot of information, and there are medications that can be used in many of these conditions.

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Maya
Calico
6 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Straining To Urinate
Inflamed vaginal area
Brown urine
Hair Loss
Blood In Urine

Medication Used

Cerenia 16mg tablets 2 boxes of 4
Convenia 80mg/ml injectable 2 doses
Tramadol

Hi, this issue started three weeks ago. It began with Maya (who is normally a very good girl) urinating on everything, literally. I couldn't get items into the washing machine faster than she was soiling the next. There has been a lot of stress in our lives recently and I thought maybe she was acting out even though it wasn't like her. So I got mad at her which I'm sure didn't help. Until I saw she had blood in her urine.
I took her to a new vet since we were between vets due to a move. The new vet prescribed an antibiotic, gave her fluids and took a urine sample to be analyzed.
The prescription could not be administered, my cat refuses liquid meds. Unfortunately the vet could not offer a pill or an alternative med.
Over the next two days her symptoms grew worse so I took her to a larger facility since the original private practice vet was closed on the weekend. The second doc gave her fluids as well and an injectable antibiotic, Convenia, that lasted two weeks without any additional pill or liquid. She also prescribed Cerenia for inflammation and Tramadol for pain and to ease her anxiety.
That seemed to do the trick until the other vet called with results of the culture. The results came back showing a particular bacteria that the injectable antibiotic would not treat. She recommended Clavamox 125mg. I told her Maya was improving and doing well since her visit to the second vet four days prior. But she was insistent that she go on the secondary med. I checked with the second vet she agreed so I relented and gave her the Clavamox. It gave her diarrhea almost immediately. I did what I could to help Maya manage it. But after neither vet could offer an acceptable solution I decided to stop the med until she got through with the first. Especially since she had been improving before that.
Things got better with her litter box business but her backside itself is in bad shape. She is either overgrooming due to 'urine burn' or the urine is getting everywhere when she goes to the box. No one knows the answer all we know is her bum looks like a baboon and is not improving. Several attempts to get her to stop the grooming activity have been made, Donut collar, Thunder Shirt, isolation, scent free baby wipes for cleaning and Neosporin to help the healing process but it hasn't improved much.
Two days ago I came home to find small amounts of urine just outside her box, they were dark brown, almost black. Called the second vet, who I now consider Maya's doc, and she said to bring her in for a blood test, urine sample and urine culture. Which I did yesterday. At that time Maya was urinating and defecating normally. The only issues were her bottom being bald and sometimes wet with urine and she seemed to be running a fever, warm to the touch.
At her visit her temperature was normal and another ultrasound showed no sign of anything out of the ordinary. The doc said the walls of her bladder may be a little thick but nothing alarming.
We went ahead with the plan to do a blood test, urinalysis and urine culture. I guess it took awhile to get the urine from her. The tech said they had a hard time getting it. When I asked why she said Maya didn't want to give it. I didn't take it any further except to make sure they got it and that it was NOT a table sample this time like the original vet had done.
This morning Maya cannot pee. She goes to the box, strains but very little or nothing comes out. A call to the vet got us nowhere. They have no reason for the overnight change. The blood results came back normal. Her urinalysis came back with no bacteria present, and the culture isn't back yet.
In the meantime, I have given Maya a small dose of Tramadol to help relax her. The vet approved this.
With that history, my question is: Could this be Bladder Cancer? If so, how do we find out for sure? If not, what else could it be, and what might be the cause for her backslide after the last vet visit?
Thank you in advance for your time and care.
Kindly, Maya's mom Jules

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
I'm sorry that Maya is having all these problems. The only thing that I can think of that hasn't been covered by your veterinarian is that some cats will get a stress-induced cystitis, and those sometimes respond to a medication called Amitryptilline, and Feliway to decrease stress. Bladder cancer would have been evident on the ultrasound. Sterile cystitis can be challenging to treat, but decreasing stress and increasing water consumption help - your veterinarian can let you know more about this condition.

In case you're still thinking of other possibilities, she has diarrhea now too. Sadly.

Hi Dr. King,
I forgot to mention that I've had two Feliway plug-ins going since the first day this all started.
But I will ask my vet about Amitryptilline.
If you think of anything else please let me know.
Thank you so much for your time!
Kindly,
Jules

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Mayo
Ragamuffin
3 Years
Mild condition
3 found helpful
Mild condition

Cat has had blood in urine for 2-3 weeks now. Had antibiotics and 10 days of Metacam still there. Fine in herself - eating, drinking, going in her litter tray, not straining, going outside as usual. She's only 3 & a half.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
There are various causes of blood in the urine in cats; urinary tract infections and urinary stones are the most common causes but other causes may include tumours, poisoning, trauma, kidney disease among other causes. I cannot really say what the cause would be without an examination, if urinalysis hasn’t been done yet it would be a good start. Regards Dr Callum Turner DVM

My 14 year old female kitty was diagnosed with bladder cancer recently. The vet used an ultrasound for diagnosis. Treatment options leave little chance of recovery. The vet suggested to allow her to live her life the way she wants, try to make her comfortable. The vet prescribed some pills for pain and inflammation. We are very sad at this development because she is such a gentle soul. She seems to be normal otherwise. The tumor is not near the urethra according to the vet. The vet said she might have up to a few months to live.

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