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What Does Black Urinary Discharge Indicate?

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Posted on Mon, 19 May 2014
Question: Hi Doctor, My Wife is experiencing a strange black urinary discharge that looks like ground black pepper grains. When they appear on her pad that she has to wear, the black spects will smear a dark black. What would cause such a thing?
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Answered by Dr. Luchuo Engelbert Bain (1 hour later)
Brief Answer:
Clinical review, Urologist's opinion

Detailed Answer:
Hi and thanks for the query,

It might be important to know for how long she has been experiencing this discharge. This might be related or not to the sling in the bladder. However, presence or absence of other signs of urinary tract infection (pain on urination, incontinence, frequency or offensive odor) lately might be of importance to be considered.

Considering the fact that this is actually a discharge, and not a color change in the urine alone, it is compelling that an in depth evaluation of the discharge be done. A sample should be sent to the laboratory for bacteriological analysis, culture and chemical analysis. It is not excluded however, that in case the installation of the dark discharge was very much progressive, the stent could be incriminated to an extent.

The opinion of a urologist is required considering her medical history. Ruling out a urinary tract infection and consequently treating it appropriately as you book an appointment is my advice.

I suggest you meet your primary care physician for a proper initial clinical review. Kind regards.

Dr Bain
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. Prasad
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Answered by
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Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

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What Does Black Urinary Discharge Indicate?

Brief Answer: Clinical review, Urologist's opinion Detailed Answer: Hi and thanks for the query, It might be important to know for how long she has been experiencing this discharge. This might be related or not to the sling in the bladder. However, presence or absence of other signs of urinary tract infection (pain on urination, incontinence, frequency or offensive odor) lately might be of importance to be considered. Considering the fact that this is actually a discharge, and not a color change in the urine alone, it is compelling that an in depth evaluation of the discharge be done. A sample should be sent to the laboratory for bacteriological analysis, culture and chemical analysis. It is not excluded however, that in case the installation of the dark discharge was very much progressive, the stent could be incriminated to an extent. The opinion of a urologist is required considering her medical history. Ruling out a urinary tract infection and consequently treating it appropriately as you book an appointment is my advice. I suggest you meet your primary care physician for a proper initial clinical review. Kind regards. Dr Bain