FROM OUR EXPERTS
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.
Definition Bleeding refers to the loss of blood. Bleeding can happen inside the body (internally) or outside the body (externally). It may occur: Inside the body when blood leaks from blood vessels or organs Outside the body when blood flows through a natural opening (such as the vagina , mouth, or rectum) Outside the body when blood moves through a break in the skin Alternative Names Blood loss; Open injury bleeding Considerations Always seek emergency assistance for severe bleeding, and if internal bleeding is suspected. Internal bleeding can rapidly become life threatening, and immediate medical care is needed. Serious injuries don't always bleed heavily, and some relatively minor injuries (for example, scalp wounds ) can bleed quite a lot. People who take blood-thinning medication or who have a bleeding disorder such as hemophilia may bleed excessively and quickly because their blood does not clot properly. Bleeding in such people requires immediate medical attention. Direct pressure will sto...
Alternative Names Pain - penis; Priapism Home Care How you treat penis pain at home depends on its cause. Talk to your health care provider about treatment. Ice packs may help ease the pain. If penis pain is caused by a sexually transmitted disease, it is important for your sexual partner to also be treated. An erection that does not go away (priapism) is a medical emergency. Get to the hospital emergency room immediately. Ask your health care provider about getting treatment for the condition causing priapism. Call your health care provider if Call your health care provider if you notice any of the following: An erection that does not go away (priapism) -- seek immediate medical attention Pain that lasts for more than 4 hours Pain with other unexplained symptoms What to expect at your health care provider's office Your health care provider will do a physical examination and take a medical history, which may include the following questions: When did the pain start? Is it always present? Is it a pain...
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