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Bladder Cancer


A urine test to check for increased levels of NMP22, a marker for bladder cancer.

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Special Instructions
Contact Medichecks prior to ordering this test online.

Bladder Cancer Test

About this test

Cancer of the bladder results in approximately 5000 deaths per year in the UK. The incidence of bladder cancer is three to four times higher in men than women, and roughly twice as high in white men as black men. Cigarette smoking markedly increases the risk of bladder cancer - with nearly half of all new cases of bladder cancer occurring in current or former smokers. Occupational exposure to chemicals used in the dye, leather, tyre and rubber industries has also been associated with an increased risk of bladder cancer. Early detection and treatment may prevent progression to invasive disease or allow for more effective treatment of non-invasive tumours.

This urine test looks for a protein called NMP22. This is a nuclear matrix protein, found in urine. Healthy people have low levels of NMP22. People with bladder cancer, however, can exhibit noticeably high levels. The urine test uses NMP22 as a 'marker' for the detection of bladder cancer. Although it will never replace cystoscopy (an internal examination), it can help to provide a more accurate diagnosis.

Like many tumour marker tests, this test is not infallible. It is possible to have normal levels of NMP22 yet still have bladder cancer. It is also possible to have elevated levels for innocent reasons e.g. extreme exercise prior to taking the test or a recent cystoscopy. Its use as a screening test is therefore not established and it is more commonly used in the diagnosis of people who have symptoms, or to test for recurrence of bladder cancer.

Who is this test for?

This urine test is suitable for people who have been treated for bladder cancer and wish to monitor their levels of NMP22 for recurrence. It may also be useful for people who have an increased risk of bladder cancer either because or a history of smoking or because of exposure to certain chemicals at work. 

How it works

Collect Sample

We send you an easy-to-use kit to collect your urine sample.

Post Sample

Post your sample to our lab in the prepaid envelope provided.

View Results

View results securely in your own personal dashboard.

Important Information

This test contains a tumour marker test. Please see your doctor if you are suffering any unusual symptoms which persist - do not use these tests to self-diagnose. Tumour markers are most useful when viewed in conjunction with a clinical examination. Results do not constitute a diagnosis of cancer and markers are often tested to monitor treatment when cancer has already been diagnosed, or to check that it has not returned. Cancer markers can be elevated in benign conditions and results often produce false positives. Sometimes tumour markers can be normal even though cancer is present. Please make sure that you think carefully about the risks and benefits before taking this test.

Our tests are not a substitute for seeing your doctor, especially if you are suffering symptoms. Our doctors will interpret your results based on the information you have provided, but will not diagnose, consult or provide any treatment. You will be advised to see your doctor for any necessary follow-up action.

Tests Included

Tumour Markers

Urine sample collection kit

We will send you your Bladder Cancer Test urine sample collection kit which contains everything you need to take your urine sample in the comfort of your own home.

Postage & packaging

Your Bladder Cancer Test includes 1st class postage and packaging for you to send your urine sample directly to our laboratory for analysis. If you live in an area where you cannot rely on the post or you simply want to ensure that your sample arrives at the laboratory the following day, you may wish to send your urine sample guaranteed next day delivery for extra reassurance.

Private laboratory analysis

Your urine sample will be analysed at one of our chosen laboratories. You can be assured of fast, accurate results from one of our accredited independent providers of clinical diagnostic tests.

Interpretation of results

Our medical team will comment on out-of-range urine results and give you follow-up advice where necessary. If you need it, a PDF copy of your Bladder Cancer Test results can be downloaded for your doctor.

Secure online account with

Once you have placed your order you will receive login details to where you can manage your account, track your orders and view your Bladder Cancer Test results.

Health and Lifestyle tracker

Stay motivated by filling in your online health and lifestyle questionnaire and seeing how improvements in your lifestyle can influence your results. Your medical and family history gives us vital information when interpreting your results.

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