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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hematuria With Discharges And Bladder Inflammation?

I had proton radiation therapy about 2 years ago and my psa has been dropping to.09. I now am experiencing blood in my urine and the passing of tissue. I had a test with a scope and my urologist noticed some inflamation or something on my bladder and I am scheduled for a biolpsy tomorrow. i understand that it may be inflamation or bladder cancer. Is this typical after radiation? What is the cure if it is scarring and what is the cure rate if it is cancer.
Wed, 27 May 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
Scarring is more common after radiation than cancer.
So for your symptoms, possibility of bladder scarring is more than bladder cancer.
But biopsy is must to differentiate between these two.
So get done biopsy for the diagnosis.
If it is scarring then treatment is available and your problem can be solved.
But if it turned out to be malignant then you need to get done staging of the cancer.
Future treatment will be decided on staging of the tumour only. Early stages of bladder cancer is having good prognosis with life expectancy of 6-7 years. End stage bladder cancer is having life expectancy of less than 2 years.
Hope I have solved your query.
Wish you good health. Thanks.
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What Causes Hematuria With Discharges And Bladder Inflammation?

Thanks for your question on Health Care Magic. I can understand your concern. Scarring is more common after radiation than cancer. So for your symptoms, possibility of bladder scarring is more than bladder cancer. But biopsy is must to differentiate between these two. So get done biopsy for the diagnosis. If it is scarring then treatment is available and your problem can be solved. But if it turned out to be malignant then you need to get done staging of the cancer. Future treatment will be decided on staging of the tumour only. Early stages of bladder cancer is having good prognosis with life expectancy of 6-7 years. End stage bladder cancer is having life expectancy of less than 2 years. Hope I have solved your query. Wish you good health. Thanks.