Bleeding Penis

During agressive sex I sometimes have bleeding (free flowing blood).  Subseqently the clotting causes a blockage that is difficult to pass.  I have seen a urologist, been scoped, CT scan, etc. with no diagnosis other than a possible irritated prostate because we can't find any other cause.  I drink alcohol a good bit daily and use 1/2 cialis before sex.  The erection is quite rigid and prolonged (thanks to cialis). The bleeding is not related to actual ejaculation because I may not at the time. There are no other symptoms. I take high BP medicine, am diabetic (type 2)  Any ideas ?

[Kevin Pho, MD]

You have had a comprehensive evaluation for your symptoms.  

By "scoped" I assume this was a cystoscopy.  If not, this should be done to rule out bladder cancer.  

A transrectal ultrasound can be considered to further image the prostate.  If the tests continue to be non-revealing, serial monitoring of the urine (via a urinalysis) can be considered to see if the bleeding is still continuing.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

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