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Sufferers with transitional cell carcinoma of the bladder generally present with pain-free macroscopic or microscopic haematuria. Patients could also present with irritative voiding symptoms such as for example urinary urgency and rate of recurrence. Patients with TCC of the bladder are also vulnerable to renal and ureteric TCC. Preliminary investigations comprise urine cytology and culture, full bloodstream count, coagulation research, and serum urea, creatine and electolytes, plus intravenous pyelography or computed tomography urography.