In healthy men and women, urine does not contain any blood that can be seen with the eye, called "gross blood," nor does it contain red blood cells that can be discovered with the aid of a microscope. The discovery of either gross or microscopic blood in urine is a sure indication of the need to examine and evaluate the patient to discover the cause of this abnormality. The conditions that can lead to either gross or microscopic blood in the urine are many and varied. In adults, a careful history to describe the details of the bloody urine, a physical examination and laboratory studies are the first step in unearthing the cause. Imaging with x-rays, ultrasound, CAT/MRI scans are the next step and will usually discover the cause. In adult women, infection of the bladder or kidneys, urinary stones, and tumors of the urinary bladder, kidneys are the most common causes. In adult men, enlargement and/or infection of the prostate, bladder infection and...
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 ...
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