I have seen blood (on tissue) after urinating, it is not mixed with the urine and I don't feel any pain until the end of the urine stream? This has been happening for at least 6 months, about a week after my menstrual cycle. This time I have also been experiencing pain in my left side and back. Can you tell me what is causing this and what the treatment would be?
You should be evaulated by both a gynecologist and a urologist for a complete evaluation.
Gross hematuria can be caused by a long list of possible diagnosis that ranges from no specific cause, infection, stones, endometriosis, and malignancy. Even one episode of gross hematuria (visible blood) deserves a complete workup. This includes imaging of the kidneys (ultrasound, cat scan, mri), urine tests (urinanalysis, culture, and cytology), and a cystoscopy. In patients with a history of smoking, bladder cancer is the most common diagnosis of gross hematuria, and most tumors are found during cystoscopy. The risks of the procedure are low, and include, infection, trauma to the lower urinary tract, and bleeding. Your bleeding is not mixed with blood which makes this less likely. Other gynecologic reasons include endometriosis, vulvar/perineal gland infection/inflammation.
I would strongly visit both doctors for a complete evaluation.
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