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Urology (Expert Forum)
blood after biopsy?
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
blood after biopsy?
by Daniel__0__0, Dec 10, 1998 12:00AM
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?
===============================================
Dear Daniel
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..
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’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: hematospermia
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?
===============================================
Dear Daniel
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..
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’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: hematospermia
