58 y/o male - While urinating during a bowel movement I began to bleed from the penis - enough to soak through my underwear and pants afterward. My next urination (while standing) resulted in clots at first but then all seemed nomal, but with a little burning. A few days later it started again just as before (urination while having a bowel movement) and I went to my local emergency room and was examined by a Urologist. He ordered cat scans of the kidneys (before ad after contrast) and they showed no problems. A few days later he did a Cystoscope and found the bladder and prostate to be fine, but did find scarring along the full length of the urethra. I bled quite a bit after the Cystoscope. The Doctor put me on a one week course of Cipro as a precaution.
His only conclusion was that the scarring was caused by gonorrhea. I couldn't seem to make him understand that I've never had gonorrhea. I HAD been exposed to it once - 35 years ago - but had a shot from the health department back then and never developed symptoms.
I have had a couple of UTIs over the years (I was on long term prednisone for RH which opened me up to a host of infections). My last UTI was probably 15 years ago.
My questions are:
What else could have caused the scarring other than an STD or infection?
Why does bleeding only begin while urinating during a bowel movement? (and not everytime)
Why did it only start to happen now? I've had 3 bleeding episodes in 3 weeks.
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