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Blood/Clots in urine one year after IMRT treatment
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Blood/Clots in urine one year after IMRT treatment

My father was diagnosed with prostate cancer (Gleason 3+4) (psa 4.2) in fall 2002.  He underwent a radical prostatectomy in November 2002. He had one undetectable psa after the surgery, and then in November 2003 he had a recurrence with a psa of 0.34. The oncologist gave him 2 hormone injection (3 months apart) and then he began IMRT treatment in April 2004.  He has since had 3 undetectable psa tests, with the most recent being 2 weeks ago.  During his IMRT treatment he had blood in his urine, and occasionally some clots as well.  Two days ago he awoke in the night to urinate and had blood and a clot in his urine. There has not been any more since that one incident.  Should we be concerned?  Would it be wise to seek medical attention for this (hopefully) one-time incident?  Thank you.
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Blood in the urine should always be investigated.  

Cancer, infection, or a kidney stone are all possibilities.  You can consider a CT scan or ultrasound to evaluate for stones, or a cystoscopy to evaluate the bladder for any possibilities of masses.  

Even if it was a one-time incident, this should be discussed with your personal physician or urologist.

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.
http://www.straightfromthedoc.com
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