Enlarged ovary

[SuPhan]

71 yo female with chief complaint of blood when she urinates and wipes.  She has a prolapsed bladder, but has not had it repaired.  She thought it was a UTI (history of UTI's due to the prolapsed bladder).  However, after Macrobid BID for 1 week, she was still experiencing bleeding.  So she went to a practitioner who ordered a Pelvic Ultrasound.  Got results today--"prominent" left ovary for patient age.  They want to do a CT Scan after lab work to determine kidney function.  
Can someone give me the differential diagnosis?  What tests do we need to do first?  Should I get her set up with a gyn/onc specialist?

This is my mom and she wants me to follow along with her care.  I want to get her the best care, but I am way out of my league.  Thank you in advance for any help.

[old_before_my_time]

It is possible that her prolapsed bladder is causing her underwear to rub against her urethra thereby irritating it causing bleeding.

[HVAC]

I have MS and a lot of people with MS have urinary problems so they go to GYN/urologist. They deal with women's urinary issues as opposed to urologists that specialize in men's issues. The also deal with prolapses. I am sorry she is bleeding

Alex

[SuPhan]

I didn't know there was a GYN/urology specialist.  I only knew of the GYN/ONC specialist.  She assumed the bleeding was while urinating because she has had that before with frequent UTI's.  After the anitibiotic did not help and she continues to bleed, she is not sure of the origin as she has not had a menstrual cycle in 25 years or so.  No family history of ovarian cancer.  Her mother and aunt had a hysterectomy due to endometriosis (all they knew to do back then).  No other female relatives other than me. She has a hx of breast cancer 27 years ago (mastectomy, no radiation or chemo, no recurrence)

[old_before_my_time]

As Alex said, if she has an ovarian cyst, chances are that it is benign. A woman without a predisposition / family history for ovarian cancer has a less than 2% lifetime risk. Removal of female organs is GROSSLY overused and very profitable here in the U.S. as well as in a number of other countries. Only 2% of hysterectomies and oophorectomies are done for a cancer diagnosis making up to 98% unwarranted. We as health care consumers and the ones who suffer the consequences of treatment (or lack thereof) need to do our homework and not depend on getting all the facts from medical professionals. Hoping you get a proper diagnosis and are told or discover ALL treatment options as well as all their risks and benefits.

[HVAC]

Has she seen a GYN/urologist? The CT scan is the next step for the ovary. Bleeding when you urinate is not part of ovarian cancer. The ovary could be a separate issue. Most ovarian cysts even large ones are benign. Lets keep are fingers crossed. She could have bladder stones they cause bleeding.

Alex