Is bladder cancer painful?

Maybe. Bladder cancer is generally not painful until it has spread to local organs and structures. If it contained to the superficial lining of the bladder without invasion, it is usually not painful.
Bladder cancer. Early bladder cancer has very few symptoms. Blood in the urine is the reason for initial evaluation of people subsequently diagnosed with bladder tumors. The definitive test remains cystoscopy. This must be performed by a qualified urologist. It can, however, usually be performed in the office.