Any advice on prostate and bleeding is welcome.
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I am a 55 year old living in Australia. I do not smoke and do not drink alcohol or coffee. In April 2015, I started to get pain in the lower abdomen which I thought was due to certain exercises. However in May this was followed by a lot blood in the urine and a lot of blood in the semen which I have had ever since. I have had numerous urine and blood tests which have shown no sign of infection or cancer and low PSA. Ultrasound and CT scan in June showed prostate enlargement (36.5 cc) with some calcification and no chronic bladder obstruction. Cystoscopy in August found no lesions or anything of significance. In September placed on 4 week course of antibiotics by urologist, this reduced the amount of blood in the urine to only a small amount at the beginning of the stream occuring ocassionally but no effect on large amount of blood in semen. However, by now urine flow had weakened and some dribbling present. Ultrasound in September indicated prostate had grown to 42 cc. The urologist believed that I have a vascularised prostate and prescribed duodart (tamsulosin & dutasteride). Only over the past month have I had to get up during the night, previously I could go 6-7 hours overnight but now only 4 hours. I constantly feel the urge to urinate even though my bladder has been emptied the hour before. Whilst taking the duodart the amount of blood increased and I had very bad lower abdominal pain which my GP advised me from taking the medication anymore after just two weeks. The urolgist has now advised that I undergo a TURP, however I am very concerned with the side effects and also because the urologist said it would improve my BPH symptoms but may not fix the bleeding issue. I would appreciate any advice and opinions as I am quite depressed about the problem.
1 like, 19 replies
kenneth1955 exwhyzed
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exwhyzed kenneth1955
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Thanks for your reply.
Actually I was shocked that the Urologist suggested a TURP and at my age I am not keen on the idea.
kenneth1955 exwhyzed
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mark23925 exwhyzed
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mark23925 exwhyzed
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exwhyzed mark23925
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Thanks for your concern.
Due to there being blood consistently both in the urine and semen the urologist determined that it must be the prostate especially as I have had the weak flow, dribbling type symptoms as well. I was told that I have a very vascularised prostate and that the pressure on the blood vessels is forcing blood into the urine and semen. I have not had a biopsy.
Richard
ianC exwhyzed
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I would get as many urologist and/or nephrologist consultations as you can reach/afford - these specialists are probably the only ones who may eventually come up with a causal explanation and be able to offer a cure. I say this as I went to 5 consultants before I got a satisfactory answer (the first 4 all said 'yes, you have terminal bladder cancer and will be dead in a short time and there's no known treatment that will prevent that - you are too far gone'; the 5th said that chemo was a 5% chance - which I did. All this was 8 years ago). See if you can find out who's the most expert and go for him/her.
exwhyzed ianC
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The urologist ruled out kidney problems because the blood was appearing in both urine and semen. As you suggest I should visit other urologists to try and get an answer.
kenneth1955 exwhyzed
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exwhyzed kenneth1955
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Sam05687 exwhyzed
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at the outset, i must say that i am not qualified to advice you on your current condition.
However, You may find a second opinion useful from an Interventional Radiologist experienced in dealing with Enlarged Prostates.
The only Interventional Radiologist (dealing with Prosate and PAE) i know is at Liverpool Hospital(South West Sydney). If interested, Contact Alda Moriera on (02) 8738 7055 who will be able to organise a consultation with Dr Glen Schlaphoff.
I hope you find relief soon from your present condition.
exwhyzed Sam05687
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Richard
bret16948 exwhyzed
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bret16948
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lester90053 exwhyzed
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