Blood in urine (hematuria) after ejaculation

[robalex1982]

In the past week I have had two instances of peeing blood after having an ejaculation.
The ejaculation is normal, no blood in it.  But the first time I pee after ejaculating, it seems as though I am peeing pure blood.  It only happens once.  By the time I pee the next time, the urine is clear.
It hasn't happened every time I ejaculate (I tend to about once a day).
I am seeing a urologist.  He did a CT scan which showed nothing.  In January they will insert a camera into my bladder and check around.  I am incredibly nervous about that procedure. :(
I'm 28 years old and in otherwise good health.  He has put me on an antibiotic.  He said it may just be an infection in the prostate, or perhaps an ejaculatory duct is getting irritated.  
I'd appreciate any information someone might have who has gone through this.  Especially information about the camera in the bladder procedure that I'm nervous about.
Thanks!

[robalex1982]

Thank you for responding!
There is no chance of STD as I have been tested and have not been with anyone since.  
I don't see my urologist for a few more weeks as it will be Christmas and I'll be traveling.  I don't want to be traveling with all this on my mind, but such is life.
Is it really still hematospermia even though the sperm is white and normal looking?  The blood is only present in my first pee afterwards.  It also seems to be present during the entire stream not just the first or last part.  I was told that means it's coming from my kidneys or somewhere else further up and not the prostate.  But my CT scan showed nothing wrong with bladder or kidneys, no tumors or anything.  It's all quite confusing and causing anxiety.  Thank you for your kind response.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
I can understand your apprehension as you are facing this at such a young age. However before you go for the procedure, discuss this with your urologist. Usually the cause of blood either during or just after ejaculation is prostate and is often due to a tear in one of the veins of the prostate (prostatic varices).
For most men, hematospermia (it can be blood after ejaculation) is not a serious or life-threatening condition. Nonspecific (without any cause) inflammation of the urethra, prostate and/or seminal vesicles are the other common causes.
If there is a history of unprotected contact or leaking or burst condom, then you need to get a complete STD panel done. Get a culture sensitivity test for both semen and urine done.
About 90% of men who had one episode of hematospermia will have repeated episodes. Detailed medical history, physical examination, PSA levels (prostatic specific antigen), prostatic ultrasound, per rectal prostate examination, examination of the prostatic fluid, laboratory tests, transrectal ultrasound examination of the prostate, MRI, CT, and cystoscopy are usually done to reach a diagnosis. Evaluation for hypertension, chronic liver disease, amyloidosis, lymphoma and bleeding disorders will need to be done as well. These systemic diseases increase the risk factors for hematospermia. Hence please discuss with your urologist. Take care!