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I'm a retired family physician. I am 91 years old. I had a…

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I'm a retired family...

I'm a retired family physician. I am 91 years old. I had a TURP done last January. The pre-op cystooscopy and xrays showed an enlarged prostate (in the 99th percentile re size !!!) Off and on since (maybe once a month) I'd get a bout of gross hematuria with some small clots. The bouts would clear up in a day or two. 2 days ago I had a recurrence, and it's continued all thru today. There are no clots, but the urine is quite red. What to do?: Bill Schenker

Doctor's Assistant: Is the condition chronic, or acute?

It's happened once a month for the past 10 months. This last attack started 2 days ago. So that makes the Chronic AND acute :-)

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I've had a cardiac pacemaker since just before the TURP last January. It's working fine. I take Maxzide for a mild hypertension. Otherwise I'm in pretty good shape for an old geezer :-).

Submitted: 8 months ago.Category: Urology
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Answered in 1 minute by:
12/15/2017
Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago
Dr. Arun Phophalia
Category: Urology
Satisfied Customers: 39,124
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

Hello Bill,

I am so sorry for your symptoms.

A bleeding from the prostate bed is one of the possibility. You need a cystoscopy / panendoscopy to diagnose it. Also a bladder diverticulum, cystitis or bladder tumor also need to be ruled out.

The persistent bleeding can cause anemia, so you may consider going to emergency room.

If you are on medicines like aspirin, these may affect bleeding time and clotting time. So that too need investigations.

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Urologist: Dr. Arun Phophalia, Urologist replied 8 months ago

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