I have bone metastases

Bone metastases occur when cancer spreads to the bones, which can happen in advanced bladder cancer. Learn how bone metastases are treated, and managed to relieve symptoms, and maintain quality of life.

What is bone metastases?

When bladder cancer spreads to the bones, it can weaken them. This can cause pain and increase the risk of fractures, sometimes even during everyday activities or after a minor injury. A fracture that happens because the bone has been weakened by cancer is called a pathological fracture.

These problems can affect your movement and quality of life. Your doctor may suggest radiation or medication to help make your bones stronger and control the pain.

This chapter contains general information about bone metastases. It is not a substitute for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation.

Last updated: April 2026

Reviewed by (2026 update): 

  • Dr. Laura Mertens (EAU Guidelines Panel on Muscle-invasive and Metastatic Bladder Cancer)
  • Prof. Dr. Antoine Van Der Heijden (EAU Guidelines Panel on Muscle-invasive and Metastatic Bladder Cancer)