Blood Discharged From Penis After Sexual Intercourse

  Re - Blood evident after sexual intercourse
  I would be very grateful if you could help me with a small problem I experienced recently.
  I am a 37yr old male 6'2' 190lbs reasonable health and diet.
  After making love recently (first time for a while) I felt a small pain in what felt like the shaft of my penis.  I thought nothing more of it, but on waking up in the morning, there was a large discharge of blood from inside my penis (approx 15-20ml), and more evident upon urinating.  I drank a lot of water (3Litres) for the next day or two and a very small ammount of blood, what looked like a tiny clot, was evident on each urination.
  This is now the third day, There is no pain in the scrotum area no major pain in the penis but still V'small amounts of blood in each urination.  Have abstained from sex for the moment.
  Do you think it needs to be checked, or is likely to be just a small blood vessel bursting due to blood pressure, and nothing really to worry about?  Are bursting blood vessels normal or at least common?
  Many thanks - MARTIN

[HFHS M.D.-MS]

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Dear Martin thanks for your questions
Blood upon ejaculation is fairly common and is usually benign. A routine digital rectal exam to check the prostate and a routine urinalysis are  needed.  A PSA blood test and a urine cytology looking for cancer cells may also be needed.   If the urinalysis is positive for blood after sometime from the episode a microscopic hematuria workup maybe prudent to rule out a possible bladder tumor etc..        A microscopic hematuria workup includes a IVP and cystoscopy.    ( A contrast xray that outline the kidneys and a look into the bladder with a telescope.)
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling  (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians