blood in urine

VascodaGama said:

Cystoscopy
It seems to be common to get short of stricture after radiation, and symptoms at a latter occasion. I had a mild stricture two years post RT at the urethra close to the bladder sphincter due to scar tissue. The passing urine may cause infection and traces of blood.
I recommend you a cystoscopy to look for the cause.

VG

My GF noticed that I was passing blood in my ejaculate this past weekend and I've noticed blood in my urine throughout the day today.  No evidence of this previuosly.  So it's new to me.

Will ask my doc about getting a cystoscopy. 

Swingshiftworker said:

Blood in Ejaculate & Urine

My GF noticed that I was passing blood in my ejaculate this past weekend and I've noticed blood in my urine throughout the day today.  No evidence of this previuosly.  So it's new to me.

Will ask my doc about getting a cystoscopy. 

Some more blood passed today.  Mostly comes in morning, so it must build up overnight.  Mostly just "spotting" or a "spurt" which happens after most of the urine has been expelled.

My RO referred me to a urologist to check for the source of the bleeding including a cystocopy of the urethra/bladder and an ultrasound or other test of the kidneys.  Hopefully, what ever is causing this will pass or can be delt with w/o any surgery.  We'll see . . .

Swingshiftworker said:

Blood in Ejaculate & Urine

My GF noticed that I was passing blood in my ejaculate this past weekend and I've noticed blood in my urine throughout the day today.  No evidence of this previuosly.  So it's new to me.

Will ask my doc about getting a cystoscopy. 

Scheduled for cytoscopy at UCSF on 3/27.  CT scan pending.

Swingshiftworker said:

Further Update

Scheduled for cytoscopy at UCSF on 3/27.  CT scan pending.

Swingshiftworker,  I started passing blood about 18 months after finishing 32 IMRT treatments. Uro thought it was constrictures, so a cysto was preformed. Constrictures were found and a surprise; Bladder cancer. 6 BCG treatments everything cleared up. I do cystos every 6 months next one scheduled the March 22. It's important to find out the cause of "passing blood". Please post the results after you get your cysto.

Retired 12 said:

Blood in urine

Swingshiftworker,  I started passing blood about 18 months after finishing 32 IMRT treatments. Uro thought it was constrictures, so a cysto was preformed. Constrictures were found and a surprise; Bladder cancer. 6 BCG treatments everything cleared up. I do cystos every 6 months next one scheduled the March 22. It's important to find out the cause of "passing blood". Please post the results after you get your cysto.

Well, I had my CT scan (of kidneys/bladder) and Cytoscopy (of urethra/bladder) today and nothing of any significance was found. 

Negative for any bladder cancer or any malformations in the kidneys.  The scope found an enlarged prostate pushing on the bladder and irritated tissue in the urethra where it passes thru the prostate which is the likely site of the bleeding which I am still experiencing but, according to the attending urologist, the amount of bleeding that I am experiencing is relatively minor, which is most likely caused by the CK treatment over 2 years ago, and there's no effective treatment for it.  So, I just have to live w/it and hope that it goes away in a couple of months, which is "usually" how long this radiation side effect lasts.  So, nothing else can be done and no need to worry that there's some other medical problem that needs to be addressed.

AlI that I have to show for this is a 4 panel print out of my bladder and prostate from inside my urethra that I can add to the picture of my larynx and one of my right rotator cuff that I received during previous assessments for different problems in the past. 

OBTW, if anyone here ever gets a cystoscopy, while it is relatively painless, it is somewhat uncomfortable and, while useful, I found the whole idea of sitting in a chair, while a doctor is sticking a fiber camera up my penis and watching live cam video during the process, pretty bizzarre in retrospect. 

But don't let that stop you from getting a cytoscopy if you need one; it's an amazing technology and the only one that will let the doctor "see" what's going on inside your urogenital tract. 

Ciao!

VascodaGama said:

Blood in Urine, my last experience

I got a “clean” report from my GP regarding the live blood in my urine. The tests and image studies did not reveal anything. They examined the “track” including the kidneys, ureters, bladder, urethra and even the testis. The conclusion by my GP is that the appearance of blood may have been due to trauma. She commented that it may have originated from the cavernous spaces in the penis after erection.

How could such happen? I do not know but I am glad for the response.

I hope that by enjoying these moments of libido I do not became an “invalid” in the sex department.

Best

VG

Hi VG

I had blood in my urine again last night but none the whole of to-day. I had another Urinalysis yesterday morning which still showed some white bood cells. (5-10) less than before(20-30).  Also had my PSA tested and it was up a lot in only two months!  From 0.82 to 2.34.  Could the slight infection casue such a large increase in my PSA?

I had IMRT just over a year ago

Best regards

Tony

VascodaGama said:

Tony; Slight infection may cause "slight" increases of 2 points

Tony

Infection at the prostate and/or urethra can cause higher PSA levels. The blood in the urine could be due to infection too. The best way to have a proper diagnosis regarding the cancer (recurrence) is to treat firstly the infection (if any) and get tested again. However, a sudden rise in guys with the gland is not usually related to cancer alone, it could be due to infection. Constant increases over a period is bad and of concern.

In your case with the prostate in place, the increase of the PSA should be expected. Both prostatic cells (benign and cancerous) produce serum PSA. In a "clean" environment of unmasked PSA (your present situation) and free from infection or inflammation, and free from any prostatic manipulations (sex, etc), high values over 2.?? is usually related to cancer. Benign tissue produce small amounts of the "staff". You need to get things "straighten" firstly and then get tested before drawing any conclusion.

Give time a chance to verify the cause of the increase. If recurrence is apparent I would suggest you to discuss with your doctor in trying controlling the advance with drugs that do not cause nasty effects of hypogonadism. For example, try Casodex together with Avodart but no agonists. That will keep your testosterone at normal levels and away from the nasty experiences you had before.

Please note that I am not a doctor. I have a keen interest and enthusiasm in anything related to prostate cancer, which took me into researching and studying the matter since 2000 when I become a survivor and continuing patient.

 Regards, 

VGama 

Thanks very much VG

Unfortunately I forgot to tell my urologist that I was on Plavix and aspirin anti-platelets because I had heart surgery less than three months ago. (I had a stent put in my heart artery)

  I am a bit worried because I read on the internet that if there is any blood in the urine you must stop Plavix. But I dare not do this because I could have a heart attack. I hope the blood is from my IMRT and not caused by the Plavix. Of course if I am bleeding from the radiation perhaps the Plavix could make it worse.

I have emailed my cardiplogist and I will see my urologist again to-morrow and also consult him about the rise in PSA.

You seem to be doing well with your fight against cancer. I noted in a previous thread you live in the Algarve. I know it well. We had a lovely house right on the beach at Praia da Rocha, but when my father died my mother found the house too large and moved to Cavoiero.

I miss the lovely fish especially '"espada"

best regards

Tony

anot8910 said:

Dont panic, panic make your

Dont panic, panic make your condition worst, seek for a doctors help they are the one who is authorized to give you what do do on that condition, they can also undergo you for a series of test to check whether your condition is still in normal state. After that you should take the medicines that the doctor has prescribe you.

My urologist assured me that blood in urine was a very common long term side effct of radiation and not to worry. He said that if it were the blood thinners causing bleeding there would be a lot more blood.

Regarding PSA he said that 2.00 after 14 months  RADIATION  was normal. Tke regular PSA tests and if it rises to 4 than see him again.

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