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My Anterior Lesion Is 1.8 Cc On T2 MRI Which

Posted on Wed, 26 Jun 2019

Question: My anterior lesion is 1.8 cc on T2 MRI which I understand underestimates lesion size by 1/2 and my urolothought metastesis was perhaps 5-15% And my dipstick today showed "large" for blood. What is the probability that this is related to my prostrate lesion? Could it indicate the lesion has invaded my bladder? My dipsticks have been increasing lately(6 months) but this is the largest reading. Thanks for all your insight. XXXXXXX

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Prostate cancer can bleed in urethra and blood can get mixed up in urine

Detailed Answer:
Hello
Thanks for query ..
Based on the facts that you have posted your urine dipstick test has detected large quantity of blood in urine .

Detection of blood in urine is usually due to blood that oozes from cancer lesion getting mixed up with urine when urine passes out through prostatic part of urethra and does not indicate infiltration of cancer in to bladder .

Consult your treating Urologist for assessment and revaluation .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 hours later)

If it’s bleeding into urethra would it epe? Thanks again for everything.

Answered by Dr. Dr. P. T. Patil (24 minutes later)

Brief Answer:
It is a oozing from congested prostate and not active bleeding

Detailed Answer:
Hello
Thanks for follow up .

It is a small oozing from small superficial veins on surface of the prostate that drains out in prostatic urethra which gets mixed up with urine giving rise to macroscopic hematuria which usually stops spontaneously .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (22 hours later)

Hello,
Would this be an EPE? Thanks. XXXXXXX

Answered by Dr. Dr. P. T. Patil (34 minutes later)

Brief Answer:
Pl write full form of EPE

Detailed Answer:
Hello
Thanks for follow up
Pleasewrite full form of EPE

Thanks and Regards
Dr Patil

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng