I'm 38 and had slightly elevated PSA of 2.8 (for my age)
recently. Since my father died of prostate cancer at an early
age, my doc sent me to a urologist for a needle biopsy one week
ago. The urologist called yesterday to say biopsies negative,
so he plans to do DRE and PSA two or three times each year.
My question... my wife and I noticed lots of blood last night
after ejaculation (my first since the biopsy). Is this to be
expected after biopsy, and if so, how long does it continue?
Thanks for your questions.
Blood in the stool, urine and ejaculate is very common after a prostate biopsy. Blood gets into the ejaculate because the seminal vesicle ( a gland which contributes to the ejaculate) , is very close to the area of the prostate that is biopsied. It is not uncommon to have a small amount of seminal vesicle in the prostate biopsy and hence a small amount of blood in the ejaculate. The prostate gland also contributes fluid to the ejaculate and needle biopsy of the prostate routinely causes blood in the ejaculated semen.. I agree with your prostate cancer surveillance plan, however many urologist would still just recommend yearly PSA and digital rectal exams even with a family history of prostate cancer..
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