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What Causes Blood In Urine When Diagnosed With Benign Enlarged Prostate?
Question: Was in ER yesterday to check on bleeding prostate. From enlarged prostate. Blood vessels break I am told. Nurses tried to insert a foley to start irrigation. Could not get catheter past swollen prostate. Was taken out with lots of bleeding. Bleeding has stopped. Urine flow a little less than normal. Having to go more to empty bladder. Could this be from irritation caused by catheter ? (Possibly swollen inside?)
Brief Answer:
You have retention of urine with overflow
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted it seems that you had hematuria due to bleeding from superficial veins on the surface of enlarged prostate and nurse in ER tried to pass the catheter but failed and resulted in more bleeding .
Now your urine flow is poor and has to go to toilet frequently .This is mostly due to trivial trauma to urethra while passing catheter .
In a given situation you have to visit ER again and request the XXXXXXX Dr to attempt to put a catheter with due care to pass 15-20 ml anesthetic jelly and wait for 10 minutes before passing catheter .I am sure this maneuver will help to pass catheter easily and once the catheter is inserted in to bladder start irrigation to drain out all the blood clots .
Consult qualified Urologist for evaluation and Carry out all following basic investigations pertaining to Enlarged prostate
1) Urine routine and culture
2) Ultrasound scanning of abdomen and pelvis
3) Renal Function test
4) Cardiac work up
5) Start antibiotics like Cefotaxme twice daily
Once everything settles down which may take a week I would suggest you to get endoscopic surgery of TURP for resection of prostate done at earliest .
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.
You have retention of urine with overflow
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted it seems that you had hematuria due to bleeding from superficial veins on the surface of enlarged prostate and nurse in ER tried to pass the catheter but failed and resulted in more bleeding .
Now your urine flow is poor and has to go to toilet frequently .This is mostly due to trivial trauma to urethra while passing catheter .
In a given situation you have to visit ER again and request the XXXXXXX Dr to attempt to put a catheter with due care to pass 15-20 ml anesthetic jelly and wait for 10 minutes before passing catheter .I am sure this maneuver will help to pass catheter easily and once the catheter is inserted in to bladder start irrigation to drain out all the blood clots .
Consult qualified Urologist for evaluation and Carry out all following basic investigations pertaining to Enlarged prostate
1) Urine routine and culture
2) Ultrasound scanning of abdomen and pelvis
3) Renal Function test
4) Cardiac work up
5) Start antibiotics like Cefotaxme twice daily
Once everything settles down which may take a week I would suggest you to get endoscopic surgery of TURP for resection of prostate done at earliest .
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
Thank You for your reply. During day I was drinking water as per the urologists orders to flush out any clots etc. Urine is now crystal clear with no sign of blood or clots. The clots ended this morning. In past 2 hours I have peed out 900 ml. As I thought the reduced flow was probably caused by swelling caused by the trauma of the catheter. Will stop all fluids by early evening. Have follow up appointments being set up with my Urologist for scans etc.
did you see my follow up response ?
did you see my follow up response ?
Brief Answer:
Noted further progress .
Detailed Answer:
Hello
Thanks for follow up .
Hematuria in a patient with Enlarged Prostate is an alaming signal for active intervention .
Get investigated and get surgery done to resolve the issue for forever .
Thanks and Regards.
Dr.Patil.
Noted further progress .
Detailed Answer:
Hello
Thanks for follow up .
Hematuria in a patient with Enlarged Prostate is an alaming signal for active intervention .
Get investigated and get surgery done to resolve the issue for forever .
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. Chakravarthy Mazumdar
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