 [ Symptoms ] can prostate cancer spread to the bladder  about three yrs ago i was diagnosed to have prostate cancer with a gleason 5 score 2+3 i believe it was i opted for watchful waiting and monitoring my psa numbers yesterday is urine sample showed a 46 score on the rbc i have been referred back to the urologist and being sent to have a ct scan of my kidneys bladder and ureter if my prostate cancer were to begin an aggressive growth would it spread to the bladder [ Disease ] i am very sorry that you that pain