Dear Dr. Motola,
I underwent brachytherapy and HDR treatments for advanced prostate cancer 16 months ago. This past week I've been experiencing off and on bleeding, with some clots, from the penis. I consulted both family doctor and urologist, but they indicated it was probably from my prostate and did not seem concerned. There is no UTI.
Is this a common occurrence? Should we have further testing done; i.e., scope or CT scan? Obviously, I am quite concerned and just trying to reassure myself that this is a possible side effect of the radiation. Thank you.
If you are experiencing hematuria (blood in urine), and especially passing clots in your urine, cystoscopy should definitely be considered. Secondary cancers of the urinary tract have been reported in patients after undergoing radiation therapy. Cystoscopy and an imaging study of the upper urinary tracts will probably be necessary. Talk to your doctor about this course of treatment.
Bleeding gums can be a sign that you are at risk for, or already have, gum disease. However, persistent gum bleeding may be due to serious medical conditions such as leukemia and bleeding and platelet disorders.
Gums - bleeding
It is important to follow the instructions from your dentist in order to maintain healthy gums. Improper brushing and flossing technique may actually irritate or traumatize the gum tissue.
Bleeding gums are mainly due to inadequate plaque removal from the teeth at the gum line. This will lead to a condition called gingivitis , or inflamed gums.
If plaque is not removed through regular brushing and dental appointments, it will harden into what is known as tartar. Ultimately, this will lead to increased bleeding and a more advanced form of gum and jawbone disease known as periodontitis .
Other causes of bleeding gums include:
Any bleeding disorder
About once or
twice a month, I see a young male in his late teens or early 20s who come to me
to evaluate a bump or lesion on his penis. Interestingly, many of these men
have sought evaluation before and STILL don't know what they have.
Here are the
most common causes of this symptom:
grouped lesions on the penis that are painful? Think about genital herpes as the cause. These lesions can also occur on the buttocks or anal area. The
initial outbreak may be associated with fever. Herpes is the most common STD in
and most genital lesions in men are herpes.
Have a bump
that looks like a wart or has a cauliflower appearance? You may have genital
warts. Warts are caused by certain strains of human papillomavirus --
different ones than those that cause cervical cancer in women. In most cases,
the warts do not cause symptoms, but occasionally they can burn, itch or be
tender. They can also produce a discharge. The lesions may be tan, pink or
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