Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Question Title: blood from the prostate

Forum: The Urology Forum
Topic: Prostate Cancer


I am ejecting blood (about two tablespoons ) with or just after ejaculations
I have been to a urologist twice in the last 4 weeks, finished a full course of
antibiotics, been scoped with no apparent problem with the prostate, and the bleeding
is getting worse. Some times the blood comes out ahead of urinating
but only after a previous arousal. the blood does not normally come
with the semen, but comes after the erection has subsided.
however now the blood is coming with the semen and in greater
amounts. after i have ejected the blood I can feel a lump grow
(from further bleeding i think) just behind the testicles, which makes
it uncomfortabel to sit. could I have sustained an injury, as the bleeding
seems to be worse after physical work.
would greatly apreciate your advise, as I seem to be getting nowhere
and I have been bleeding about 4 weeks.
could the blood build up cause a problem if I don't pass it.
I am 56 years old and a Farmer who must lift and feed hay daily.
Kindest regards
Wayne


Dear Wayne,

The condition you describe is called hematospermia. The causes of hematospermia include : infection, or nonspecific inflammation of the urethra, prostate, or seminal vesicles. When associated with infection,odd infections such as tuberculosis, schistosomiasis, and cytomegalovirus may be present.
Examination should include cystoscopy to rule out cancers of the bladder. Sometimes, transrectal ultrasound can be performed and will show stones or cysts of the prostate or seminal vesicles.
Most often, this condition resolves spontaneously. It is rarely associated with any pathology. The duration of symptoms is about 4 to 8 weeks usually. Sometimes, Proscar can be used and has been helpful. However, this medication does have side effects therfore, you should discuss this with your urologist prior to beginning any medication. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).

HFHS M.D.-KR
*keyword : hematospermia

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