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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Back And Prostate Paining?

Two years ago I was treated for prostate cancer. Completed treatments and PSA is less than 1. This week I noticed bright red blood droplets after urinating following a bowel movement. I continue to have flank and back pain and it is persistent. No other blood droplets and no problems urinating and no burning. There is some slight prostate aching. Do you think prostatitis or kidney stone?
Thu, 19 Mar 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Drops of blood after urinating are usually due to a condition affecting the prostate and urethra. Rarely it can be linked to the urinary bladder. It is important to get evaluated by your urologist as you have already been treated for prostate in the past.

Doing an ultrasound scan to assess the bladder, prostate and kidneys is important. If there is suspicion in the bladder and urethra then a cystoscopy might also be indicated. Few bright drops of blood after urination can also be due to a stricture that might have formed in the urethra or a small injury to the prostatic urethra due to straining at urination.

Doing a routine urine test for red blood cells is also advised. Please do not worry.
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What Causes Back And Prostate Paining?

Hi, Thanks for writing in. Drops of blood after urinating are usually due to a condition affecting the prostate and urethra. Rarely it can be linked to the urinary bladder. It is important to get evaluated by your urologist as you have already been treated for prostate in the past. Doing an ultrasound scan to assess the bladder, prostate and kidneys is important. If there is suspicion in the bladder and urethra then a cystoscopy might also be indicated. Few bright drops of blood after urination can also be due to a stricture that might have formed in the urethra or a small injury to the prostatic urethra due to straining at urination. Doing a routine urine test for red blood cells is also advised. Please do not worry.