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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.
Urinary incontinence can be defined as the involuntary loss of urine. The urinary bladder, which stores urine until the patient voluntary empties its content, is a reservoir in the lower abdomen whose walls are a muscle that is supplied with nerve fibers. When the patient desires to empty their bladder, this muscle contracts forcing the urine out of the exit tube. There is a circular muscle surrounding its exit tube called the urinary sphincter. The muscular sphincter opens to allow for emptying of the urine, remaining closed most of the time to keep the urine stored in the bladder. Urinary incontinence is a common problem, perhaps more common in women than men, and may be temporary or chronic. Temporary urinary incontinence is loss of urine caused by another condition and disappears when the causative disease is no longer present. Examples of temporary incontinence would be acute bladder infection, loss of consciousness, or because of a reaction to a medication. Long-standing or ...
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...
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