68-year-old male with prostate cancer develops urinary blockage. Foley catheter inserted. Bacteria/slight bleeding necessitated removal/insertion of additional catheters (bacteria ongoing/bleeding varying in pink to lt red in bag). One ED visit was especially problematic--and was the only removal/insertion that in four hours preceded major blood clots in bladder, necessitating a painful flushing and insertion of catheter again. A later cystosscopy noted irritation in urethra and a big bladder stone (enlarged prostate and/or bladder stone the cause of urinary blockage).
If over a three week period, when catheter was removed/re-inserted more than once--there was only one incident of major blood clots developing in bladder during the one ED visit--therefore, what caused the major blood clots to form this one time? All conditions associated while this catheter existed remained the same. Were the huge blood clots due to improper catheter insertion (catheter not clearing urethra properly)? Condition of bladder? Of prostate?
Hi,
Thanks for writing in. sudden urinary retention could be due to enlarged prostrate, because in BPH the middle lobe of prostrate usually enlarges and surrounds the urethra, so there is a possibility of compression of that part of the urethra occasionally.
You may see blood in the urine off and on for a couple of weeks after cystoscopy. You need to call your doctor if you experience fever, excessive bleeding, urinary retention, or testicular pain. Blood clots can block the flow of urine, causing urinary retention. Your bladder may need to be washed out to remove the clots. As, you already have got your bladder irrigated, there is nothing to worry.
Do not remove the catheter until the colour of urine changes or until your doctor advises. If still clots are passing in urine, then consult a urologist to check for any tear is present in the bladder.
Best.