I today noted several bright red drops of blood in my urine (at the end of the flow). Urinating was no more uncomfortable than usual, though I now feel substantial groin fullness and (possibly referred?) pain at the tip of the penis. If the blood originated in the prostate, would it possible occur at the end of the flow? Could kidney problems cause this? What diagnostic tests would be reasonable?
Person's Gender: Male
Person's Age: 57
I should note that I had a few drops of blood at the beginning (I think) of the flow a couple of years ago, with buring on urination. It was suspected that it was prostatic in origin, but a cystoscopy was recommended, but never done. This time it is more bright red drops of urine (rather than a single "plug" of blood), and is at the end of my flow. What are the most likely causes of this blood? Thanks so much.
Does the presence of blood at the end of the flow tend to indicate a particular source (i.e. bladder vs. prostate vs. kidneys)? Also, does my extensive history of prostatitis and BPH, and a prostate at times described as "boggy" on exam make the prostate (inflammation or irritation) a more likely origin? Also, just to note, this occurred within 16 hours of two ejaculations that were the first in two weeks. Thanks.
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Does the presence of blood at the end, vs. beginning, or middle, of the flow tend to indicate a particular source (i.e. bladder vs. prostate vs. kidneys)?Also, does my extensive history of prostatitis and BPH (which makes voiding sometimes very effortful), and a prostate at times described as "boggy" on exam, make the prostate (inflammation or irritation) a more likely origin? Also, just to note, this occurred within 16 hours of two ejaculations that were the first in two weeks. Thanks so much.
Yes, blood at the beginning tends to be urethral or prostatic versus middle or end which tends to be bladder- but that is just a best guess. Your history of BPH and prostatitis means it is more likely to be prostatic, but you still need a full evaluation.
Authored over 25 Book Chapters and Articles, Specializes in male and female voiding issues
Thanks so much for your prompt and cogent response. As I don't currently have a urologist - might you by any chance know of a urologist somewhere in the Mass General, Brigham and Womens, Beth Israel/Deaconness medical world of the Boston area, that you might recommend as a nice person and skilled clinician, since Columbia is a bit of a hike for me from Boston:)? Thanks so much again for all your help.
Mark Katz at BU is outstanding.
Thanks so much for all your kind, prompt, and helpful responses, and for the reccomendation of Dr. Katz. I look forward to seeing him. (Well, at least to the extent I am able to look forward to seeing anyone wielding a cystoscope!). Thanks again.