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Blood clots after brachytherapy can be a fustrating problem. It is possible that the seeds are dislodging and causing some bleeding. There are effects of radiation that over time can affect the bladder and/or urethra (tube that drains urine from bladder through penis) that causes them to become inflammed and irritated and thus bleed. Also, it is possible, however unusual in most instances like this, that the bleeding is caused by a bladder or kidney problem unrelated to your radiation. The tests that are performed to investigate include an x-ray of your kidneys (usually Cat Scan) and a cystoscopy (where your urologist looks into your bladder with a small camera). If seeds are dislodging, this test would find that as well.