I am a 77 year old male in excellent health. I have had an enlarged prostate and my Urologist did a biopsy. there were some suspicious sells but no sign of Cancer. He repeated the biopsy ab out 6 months later and here were no cancer cells. My PSA has always been normal.
About six months ago I began having blood in my semen. My urologist gave me some antibiotics but they were not successful. Blood does not always appear but sometimes is thick red. I have been taking Jalyn for enlarged Prostate but discontinued about three months ago because of side effects. I still get up only twice per noght to urinate and I can handle that.
Two weeks I notrced some blld on mu uriine. Not a lot and not every time I uninated. I am now faced with blood in semen and urine. My Urologist wants to do another biopsy since he doesn't seem to have a clue. I have the biopsy scheduled for later this month?
Help me understand what is going on and should I continue with the plan for a biopsy?
In my opinion, the blood in your urine and semen is probably an after effect of the biopsy and could be partially contributed to by an enlarged prostate.
I would suggest that a computerised tomography urogram (CT urogram) be done for you so that e can rule out other causes of haematuria (blood in the urine) and blood in the semen. If this is normal, e can safely attribute your symptoms to the biopsy and enlarged prostate.
Secondly, considering the fact that you have a normal prostate specific antigen level, there is no need to repeat a biopsy. Rather, you need to be started on an alpha blocker like tamsulosin and a 5 alpha reductase inhibitor like dutasteride. Both the agents together will help relieve the bleeding and also relieve you of your prostatic symptoms.
I think you should see your urologist again and discuss these treatment options with him.
Hope that this information helps and hope that you will get better soon.
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