Blood in urine

My husband is 58.  6 years ago after intercourse he experienced pain and upon passing his urine it had blood in it. He went to the urologist who did a UA, Exam, IVP and cysto-he told him at that time all was fine and it was a varicose vein that ruptured in the penis.  He has been fine till last week when after exericsing he had the urge to urinate and it was all blood.  He got home and again urinated blood.  the next 3 days have been find-no blood.  He said it feels like a cut in the tip of the penis and it is like someone pouring salt water over it. What can be the cause of this? Varicsoe veins do this?  He is very worried about this and so am I.

[Kevin Pho, MD]

There can be many causes of blood in the urine, including various prostate problems (infection or cancer), bladder diseases (including cancer), or kidney disease.  A varicose vein rupturing is also possible.

There has already been a pretty comprehensive evaluation including cystoscopy and IVP.

I would consider repeating the cystoscopy to ensure there isn't any evidence of bladder cancer.  A prostate exam and PSA can be considered to evaluate for prostate cancer.  You can also consider a kidney ultrasound to evaluate for kidney disease.

You may want to discuss these options with your personal physician.

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.
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