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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bleeding Through The Penis After A Straddle Injury?

10 days ago I sustained a straddle injury from the top tube of my bike. I bled a lot from my penis and was in hospital for a few days. Doctors did all the routine things including prostate exam, ctu, ultrasound and i was catheterised for approx 40 hours. I was sent home and told to expect some rose coloured urine. I have had quite a lot of blood leaking from my penis although I have no pain or discomfort. Last night though for no apparent reason, I started bleeding with quite some flow! This lasted for approx 5/10 minutes. I slept fine without much blood loss over night. I m wondering what is normal under such circumstances? Urine flow is normal. I have had sex which wasn t unduly painful and there wasn t much blood. Do you think I should be concerned or is this normal post trauma? I am male 36 years old and very fit and healthy. Thank you for your advise and help. XXXX.
Wed, 1 Feb 2017
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Urologist 's  Response
Hi XXXX and welcome to HCM. As an Urologist,i understand your anxiety.
With recurrent blood in urine,there may be an injury in penile urinary tube.
Straddle injuries are known to cause such injuries,at the area of impact.
This is screened by a test called the RGU(retrograde urethrogram).
This is further confirmed by doing a cystoscopy,if needed.
You can check with your Urologist,if this has been done already.
Further a TRUS gives additional information.(trans rectal ultrasound scan).
If you've any doubts,send a direct question in my name,with all reports.
Dr.Matthew J. Mangat.
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What Causes Bleeding Through The Penis After A Straddle Injury?

Hi XXXX and welcome to HCM. As an Urologist,i understand your anxiety. With recurrent blood in urine,there may be an injury in penile urinary tube. Straddle injuries are known to cause such injuries,at the area of impact. This is screened by a test called the RGU(retrograde urethrogram). This is further confirmed by doing a cystoscopy,if needed. You can check with your Urologist,if this has been done already. Further a TRUS gives additional information.(trans rectal ultrasound scan). If you ve any doubts,send a direct question in my name,with all reports. Dr.Matthew J. Mangat.