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.
Frequent urination means needing to urinate more often than usual. Urgent urination is a sudden, compelling urge to urinate, along with discomfort in your bladder.
A frequent need to urinate at night is called nocturia . Most people can sleep for 6 to 8 hours without having to urinate. Middle aged and older men often wake to urinate once in the early morning hours.
Urgent urination; Urinary frequency or urgency
Together, frequent and urgent urination are classic signs of a urinary tract infection .
Diabetes, pregnancy, and prostate problems are other common causes of these symptoms.
Other causes include:
Medicines such as diuretics
Overactive bladder syndrome
(infection of the prostate gland)
Stroke and other brain or nervous system diseases
Tumor or mass in th...
Definition Urine immunofixation is a laboratory technique used to identify proteins in urine. See also: Immunofixation - blood How the test is performed A clean-catch (midstream) urine sample is needed. Men or boys should first wipe clean the head of the penis. Women or girls need to wash the area between the lips of the vagina with soapy water and rinse well. As you start to urinate, allow a small amount to fall into the toilet bowl (this clears the urethra of contaminants). Then, in a clean container, catch about 1 to 2 ounces of urine and remove the container from the urine stream. Give the container to the health care provider or assistant. For an infant, thoroughly wash the area where the urine leaves the body. Open a urine collection bag (a plastic bag with an adhesive paper on one end). For males, place the entire penis in the bag and attach the adhesive to the skin. For females, place the bag over the labia. Diaper as usual over the secured bag. This procedure may take a couple of att...
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