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Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20389
Experience:  I am fellowship trained specializing in general urology and reconstructive urology.
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Today i passed a very small blood clot at the beginning of

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today i passed a very small blood clot at the beginning of my urination. I have no pain or burning sensation.
My medical history includes prostate cancer (2004) which was treated by radical prostatectomy followed four years later by localized radiation due to rising PSA levels. Recently my PSA levels have risen very slightly. I am 57 years old.
Hello and thanks for trusting me to help you today. I look forward to working with you.

What is your current PSA level?

Do you have a history of smoking?
Customer: replied 4 years ago.

The current PSA level is .06 (tested last week at Sunnybrook Hospital in Toronto).

I have never smoked.

Blood in the urine can be an indication of a severe urine infection, kidney stones, or tumors of the kidneys, ureters, or bladder. However, in the case where someone has had radiation for prostate cancer, this bleeding is most likely due to a condition called radiation cystitis where the lining of the bladder is very fragile and can bleed easily due to the radiation damage. Very rarely, this radiation damage can cause tumors to develop in the bladder. This is why it is important to get in to see a urologist to have a CT scan of the abdomen and pelvis done and cystoscopy to rule out the stones and cancerous causes. While the cancerous causes are not likely, they should not be missed and this is why this evaluation is very important. Hope this helps and please let me know if you have questions.
Customer: replied 4 years ago.

Thank you

I am also taking medication for hemmarhoids - Proctosedyl now in my second week. Could there be an association

As well, this is the first time I've experienced blood in the urine and it's been almost 5 years from radiation

No, this has nothing to do with your hemorrhoids or the medication.

Radiation cystitis typically shows up 5-10 years after your therapy is completed. It does not show up soon after treatment. You are in the prime time frame for radiation cystitis to occur.
Customer: replied 4 years ago.

Thank you. You've helped very much. And I will go to the doctor early next week

You're welcome. I wish you well
Dr. Y. and other Urology Specialists are ready to help you
Customer: replied 4 years ago.

Thank you

I haven't had an incident since. I have checked in with my family doctor and have taken urine samples - will know more on Wednesday.

Thank you again