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 Blood in your urine, or hematuria, can be classified as microscopic or gross. Microscopic hematuria is when there is very little blood in the urine and it can only be seen with a microscope. Gross hematuria is when there is enough blood in the urine that you can see it with the naked eye. Usually it turns toilet water pale pink or bright red, or you may just see spots of blood in the water after urinating. Alternative Names Hematuria; Blood in the urine Considerations In women, blood may appear to be in the urine when it is actually coming from the vagina . In men, what may be mistaken for urinary bleeding is sometimes a bloody ejaculation, usually due to a prostate problem. In some cases, blood in the urine can sometimes be confused with blood from a bowel movement. In any case, you should see a health care provider. Discoloration from certain drugs, beets, or other foods can mimic blood in the urine. You may not see blood in your urine. In some cases, it is found microscopically wh...
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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