The main symptom of bladder cancer is hematuria, so it should be differentiated from diseases that present with hematuria. Diseases that are easily confused with bladder cancer include bladder stones and prostate cancer. Bladder stones can cause bladder irritation, long-term urination difficulties, sudden interruption of urine flow, and the need to change body position to continue urinating. There is also severe pain in the suprapubic area at the end of urination, which may involve the perineum. The child often cries and shouts, and often pulls the external genitalia with his hands. The stones may also damage the mucosa, which manifests as terminal hematuria. Regarding prostate cancer, 80% of patients experience dysuria, thinning of urine stream, deflection of urine stream, bifurcation of urine stream, prolonged urination, frequent urination, urgency, pain, and a feeling of incomplete urination due to the cancer. In severe cases, urine dripping and urine retention occur. Only 3% of patients have hematuria. In addition, pain in the waist, sacrum, buttocks, hips, pelvis, and sciatica are common and severe, which may be caused by the metastasis of the cancer to the bones or invasion of the nerves. |
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