What are risk factors?

There are certain things that can affect the chances of developing upper urinary tract urothelial cancer (UTUC). These are called risk factors.

Having a risk factor does not mean you will definitely get UTUC. And if you do not have any risk factors, you may still develop cancer.

If you are worried about cancer, have possible UTUC symptoms and would like to talk, you can:

Sex

Upper urinary tract urothelial cancer (UTUC) is more common in men than women.

Age

The risk of UTUC increases with age. UTUC is rare in people under the age of 65.

Smoking

Smoking cigarettes is one of the main risk factors for UTUC.
Related pages

Previous bladder cancer

People who have had bladder cancer may have a higher risk of developing UTUC.

Lynch syndrome

A rare condition called Lynch syndrome (LS) also increases the risk of UTUC. People with this condition usually have several relatives on the same side of the family who have developed cancers, such as bowel and womb cancers, at an early age.

Aristolochic acid

Aristolochic acid comes from a plant and is sometimes used in herbal remedies. Taking aristolochic acid damages the kidneys and increases the risk of UTUC.

This is not a common cause of UTUC in the UK. The plant does not grow in the UK and products containing aristolochic acid are illegal in the UK. But it has been linked to cases of UTUC in southeastern Europe where the plant grows. And is has been linked to cases of UTUC in countries where it is still used in some herbal medicines.

About our information

This information has been written, revised and edited by Macmillan Cancer Support’s Cancer Information Development team. It has been reviewed by expert medical and health professionals and people living with cancer.

Dr Ursula McGovern

Reviewer

Consultant Medical Oncologist & Honorary Associate Professor

University College Hospitals, London

Date reviewed

Reviewed: 01 April 2025
|
Next review: 01 April 2028
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