Urology Expert Forum
bleeding after sexual arousal
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Questions in the Urology forum are answered by medical professionals at Healthcare Magic. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

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bleeding after sexual arousal

My problem is that after sexual arousal when I urinate, there is vivid blood in my urine(urine all bright red) which may take a few days to stop. I have found that if I even start to get aroused, the result is bleeding. So I don't have sex anymore. Please don't say to see my urologist! I have done that and he does not know the cause. I have had catherization several times and numerous kidney, bladder and uretha tests and scans. All to no avail. My doctor has also consulted with other doctors with no results. I need whatever input you can provide including any recomendations to other specialists or medical centers. I'm at my wits end and only 45 years old!
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Blood in the urine can be caused by several conditions.  Infection, cancer or polyps, kidney disorders (including stones), and (if you are male) prostate disorders can all cause blood in the urine.  

Workup should include a cystoscopy (which can comprehensively evaluate the urinary tract and bladder), urine cytology, urinalysis, spiral CT scan, tests for STDs and a kidney ultrasound.  

If all these tests are negative you may want to discuss with your physician whether periodic screening (with cystoscopies) is appropriate.  

Further referrals to urology or kidney specialists in academic medical centers may help in terms of second opinions.

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.

Thanks,
Kevin, M.D.
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