What Is Blood In Urine
Noticing traces of blood in your urine is always alarming. It isnt automatically a sign that something terrible is wrong, but you should discuss it with your doctor. Learn more about why you might get blood in your urine and how to treat it.
Blood mixes with urine if there is a problem with your kidneys, bladder, or another part of your urinary tract. Sometimes, there is enough blood that it discolors your urine so you can see it. Other times, the amount of blood is microscopic, and you wont know that its there without medical testing.
Types Of Blood In Urine
There are two types of blood in the urine. The type depends on how much blood is mixed in:
What Are The Side Effects
Initially, the urethra and surrounding area will be inflamed, and it will be difficult to urinate. The catheter and flushing process can also be uncomfortable and cause bladder cramping.
The urethra, penis, and lower abdominal area will be tender, red, and swollen for a few weeks after surgery, which can interfere with urination. Most people also feel very weak and tire easily for several weeks.
Common side effects of TURP surgeries include:
- difficulty completely emptying the bladder
- urinary urgency or the sudden urge to urinate
- discomfort during urination
- small dribbles or clots of blood in the urine, for up to 6 weeks
The minor side effects associated with TURP surgeries usually go away as the urethra and prostate tissues become less inflamed, usually within a few weeks.
Though TURP surgeries may or may not be associated with erectile difficulty in some people, they can decrease the volume of semen produced during ejaculation.
As with any medical procedure, especially those involving anesthesia, the surgery for BPH is associated with some medical complications.
Possible but rare risks associated with TURP procedures include:
- excessive bleeding
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Diagnosing Benign Prostate Enlargement
You might have several different tests to find out if you have an enlarged prostate.
A GP may do some of these tests, such as a urine test, but others might need to be done at a hospital.
Some tests may be needed to rule out other conditions that cause similar symptoms to BPE, such as prostate cancer.
Why Prostate Bleeding Occurs
One thing that a medical doctor should do before rendering treatment options to a bleeding prostate is to know first the causes of the medical condition. Rough sex could cause intermittent bleeding prostate and infection. However, this disease is the number one sign of prostate cancer.
There is no obvious evidence that there is a reduction in the death rate caused by prostate cancer even if there are early detection and treatments available. Actually in several studies, men who undergo screening have not been revealed to have extended life span than men who do not subject themselves to screening. The majority of those who are affected with prostate cancer are men ages 65 years and above.
The choice to have PSA test starts at 40 years old. When a person is already 40 years old, he will be at greater risk of developing prostate cancer. Sadly, many men would disregard the presence of the condition and yet they don’t even seek any medical attention. This could cause apprehension and unnecessary tests with pain, infection, and bleeding prostate. False-positives PSA tests are common results. According to several researches, one out of four patients are tested positive with prostate cancer.
When a person is already 40 years old, he will be at greater risk of developing prostate cancer.
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Symptoms Of Benign Prostate Enlargement
The prostate is a small gland, located in the pelvis, between the penis and bladder.
If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through.
This can affect how you pee and may cause:
- difficulty starting to pee
- a frequent need to pee
- difficulty fully emptying your bladder
In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.
How Fast Will I Become Totally Continent After Prostate Surgery
During surgery for prostate cancer, the urethra is also affected and, depending on the experience of the surgeon, more or less of the continence function will be preserved. Due to the high precision of robotic surgery, the patient will have a catheter for roughly one week and the trauma to the urinary function will be minimum.
The discomfort that patients feel during this time is minimum, but you should expect the removal to make you feel uneasy. The catheter will be removed during a visit to your doctor, so do not try to do this at home, as it could cause infections. The degree of which the urinary function will be affected depends on how normal the function was before surgery, age and weight.
It is worth noting that most men will experience some degree of incontinence after prostate surgery, but control can be regained within several weeks or months to a year.
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Treating Benign Prostate Enlargement
Treatment for an enlarged prostate is determined by the severity of your symptoms.
If you have mild to moderate symptoms, you won’t receive any immediate medical treatment, but you’ll have regular check-ups to carefully monitor your prostate.
As well as lifestyle changes, medication is usually recommended to treat moderate to severe symptoms of benign prostate enlargement. Finasteride and dutasteride are medications that are commonly used. They block the effects of a hormone called dihydrotestosterone on the prostate gland, which can reduce the size of the prostate and improve associated symptoms.
Alpha blockers may also be prescribed. They help to relax your bladder muscles, making it easier to pass urine. Tamsulosin and alfuzosin are two alpha blockers commonly used to treat benign prostate enlargement.
Surgery is usually only recommended for moderate to severe symptoms of benign prostate enlargement that have failed to respond to medication.
Read more about treating benign prostate enlargement
International Prostate Symptom Score
You’ll be asked to complete a questionnaire to assess your symptoms. Each question has five possible answers that carry a score, and your overall score is used to assess the severity of your symptoms.
The checklist includes the following questions.
Over the past month:
- How often have you had the sensation of not completely emptying your bladder after urinating?
- How often have you had to urinate again less than two hours after finishing urinating?
- How often have you found that you stopped and started again when urinating?
- How often have you found it difficult to postpone urination?
- How often have you had a weak stream of urine?
- How often have you had to push or strain to begin urinating during the course of one night?
- How often have you had to get up during the night to urinate?
After your GP has assessed the severity your symptoms, they’ll aim to rule out other conditions with similar symptoms using certain tests.
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Does An Enlarged Prostate Mean Cancer
Most men who have a prostate problem do not have cancer. Cancer does occur in the prostate gland and is more common as men age. It is important for your doctor to check your prostate gland for enlargement or abnormalities, particularly as you age. In addition, there is now a blood test called the PSA, or prostate specific antigen test, which measures a substance that increases in the blood when prostate cancer has spread. The American Urologic Association recommends a yearly prostate examination for all men over age 50. However, men who have a higher risk of developing prostate cancer, such as African-American men and men who have a family history of the disease, are advised to begin yearly prostate exams at age 40. Other tests, such as ultrasound, can also give information about the prostate gland.
Transurethral Electro Resection Of The Prostate
Removing the enlarged part of the prostate is usually the best long-term treatment for an enlarged prostate gland. The portion of the gland that is not squeezing the urethra stays in place. The outside capsule around the gland is also untouched.
Transurethral electro-resection of the prostate is the traditional way to remove prostate tissue using minimally invasive surgical techniques. No outside incision is needed. There’s less pain, fewer complications and faster healing.
With TURP, an instrument called a resectoscope is inserted through the penis. This device is about 12 inches long and half an inch around. It has a light, valves for controlling irrigating fluid and an electrical loop that cuts tissue and seals blood vessels. During the surgery, the surgeon uses the wire loop to remove the tissue one piece at a time. The pieces are carried by the fluid into the bladder and then flushed out at the end of the operation. The surgery lasts about 90 minutes.
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Who Should I See If I Have A Prostate Problem
You should first see your regular doctor for this problem. Your doctor may refer you to a special doctor called a urologist for further evaluation and treatment. Urologists have additional training in treating problems of the urinary tract. Prostate gland problems are the most common disorders treated by urologists.
If you would like more information, please contact us.
How Is A Prostate Problem Diagnosed
A prostate problem is most often diagnosed because of the symptoms that it causes. Your doctor will also do a physical examination called a digital rectal exam, or DRE. Other tests can be done to measure the urine flow, which can help the doctor decide how much the prostate is blocking the urine stream.
Cost Of Enlarged Prostate Treatment Without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer a flat-fee all-cost-includedRezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
At New York Urology Specialists, we offer a flat-fee all-cost-includedUrolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.
How Do I Clean My Urinary Catheter
You need to wash your penis and the whole catheter tube gently with soap and warm water two times a day. It will be easier to remember to do this regularly if you plan to do it in the morning and before you go to bed at night. You may clean your penis and whole catheter tube this with warm soapy water and a wash cloth or in the shower. Do not take a tub bath while you have your catheter in place. It is important to keep your penis and the catheter clean so that you do not get an infection. Cleaning your catheter in the shower. When you take a shower to clean your catheter:
- Do not use very hot or cold water when you shower.
- Wash your penis and the catheter tubing very gently. Be careful not to pull or tug on the tubing.
Cleaning your skin and catheter out of the shower.
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What Is Hematuria What Are The Risk Factors For Hematuria
Hematuria is the presence of red blood cells in the urine and affects up to 30% of the adult population in their lifetime. These red blood cells can originate from any part of the urinary tract, including the kidneys, bladder, prostate , and urethra.
Hematuria can be detected both by your own eyes and with a microscope. When visible to the naked eye, it is called gross hematuria. When seen only under the microscope, it is called microscopic hematuria.
There are several risk factors that increase the likelihood of an adult developing hematuria from a concerning cause. Patients over the age of 50 years and patients who smoke or have a history of smoking carry the highest risk of developing hematuria.
What other symptoms can you have with hematuria ?
When you have hematuria, it is common to not have any other symptoms. If you do have other symptoms, these symptoms can be various annoying urinary symptoms, including burning with urination, urge to urinate, frequent urination, getting up at night to urinate, straining to urinate, starting and stopping during urination, and feeling unable to empty your bladder.
If you are passing blood clots with your urine, it is even more important that you see a urologist soon, as the blood clots could block the outflow of your urine, which can be dangerous if untreated.
If you have a fever, it is also very important to see a urologist as soon as possible, as hematuria could be from an active infection.
Does Surgery On The Prostate Gland Interfere With Sexual Function
Surgery for an enlarged prostate does not usually interfere with a man’s sexual functioning. However, about 10 to 15 percent of men may have trouble getting erections after surgery. Men may have a problem called retrograde ejaculation, which causes semen to go backward into the bladder instead of through the urethra to the outside. This means no longer being able to father children but causes no other harm.
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Diagnosis Of Blood In Urine
If you have blood in your urine, you should call a doctor. Even if the blood seems to clear up on its own, you should get it checked out. The issues might be something minor, but you need a doctor to make sure.
Your doctor will talk to you about your health history and any recent activities that could have caused an injury that explains the bleeding. They might also ask you to pee in a cup and send it to a lab for testing. This can confirm a urinary tract infection.
If urine tests dont explain the problem, your doctor might need to do more tests or physical exams. Some of the tests doctors use to diagnose reasons for blood in the urine include:
- Blood tests: Doctors test blood for evidence of kidney disease, autoimmune diseases, or prostate cancer, all of which might cause blood in urine.
- CT Scan or MRI: Imaging tests allow doctors to see internal organs such as the kidney to examine them for problems.
- Cystoscopy: This test allows a doctor to insert an instrument into the urinary tract and look at the organs. Its useful for detecting bladder cancer.
- Biopsy: Your doctor will remove a small amount of tissue from your bladder or kidneys to examine under a microscope. The tissue can show the doctor if you have cancer.
Other Surgical Procedures For Prostate Disease
Alternative surgical procedures to TURP include:
- open enucleative prostatectomy this involves making a cut in the abdomen to remove a very enlarged prostate. This is the least common form of surgery. The average hospital stay is seven to 10 days
- laser TURP a laser is used to remove prostate tissue from the middle part of the prostate, which has the advantage of less bleeding and therefore safer for people on anti-coagulation therapy for other problems, including coronary stents, heart valve or vascular disease
- transurethral incision of the prostate similar to TURP except that no prostate tissue is taken out. One to three cuts are made in the prostate near the bladder neck to release the ‘ring’ of enlarged tissue and make a larger opening around the urinary tract
- UroLift® this technique is useful for men for whom medication has not been successful but their prostates are not so enlarged that they need a TURP. It involves the transurethral insertion of staples to separate the lobes of the prostate. It has minimal side effects and preserves ejaculatory and erectile function.
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What Are The Types Of Prostate Surgery For Benign Prostatic Hyperplasia
Several minimally invasive surgeries may be used for benign prostatic hyperplasia. These include:
GreenLight laser: Photoselective vaporization of the prostate is a treatment that vaporizes prostate tissue to create a channel in the urethra for free urination. This is surgical treatment performed in the operating room under general anesthesia.
Plasma button electrovaporization: Prostate tissue is removed using low temperature plasma energy. Tissue is vaporized. This is an operating room-based therapy and requires an anesthetic.
Water vapor therapy : Water vapor is directly delivered to the prostate tissue. Over a 3-month period the tissue is destroyed and reabsorbed by the body. This is an office-based therapy and is performed under a local nerve block.
UroLift®: A mechanical approach that places implants to pin the lateral prostate lobes out of the way to reduce obstruction. This is an office-based procedure performed under a local nerve block.
Prostatic artery embolization: This approach uses catheters to deliver agents that block blood flow to the prostatic artery to reduce symptoms of BPH by shrinking tissue. This prostate procedure uses local anesthesia and doesnt require a hospital stay.