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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spotting And Hematuria After Oophorectomy?

I have been diagnosed with microscopic hematuria 3 years after breast cancer diagnosis and 2 years after oophorectomy. I had initially gone to the Dr. after having UTI symptoms. The urine was negative for bacteria but positive for blood. I am BRCA1 positive. I am being worked up and have had a urine cytology that was negative and kidney ultrasound, the results of which I do not have yet. I see a urologist in 2 days. Today I had brown spotting when I woke up. What do you think could be going on?
Mon, 23 Jan 2017
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Pathologist and Microbiologist,  's  Response
Thank you for your question
Yes after breast cancer and oophorectomy haematyria is not that uncommon

There are many reasons
1. During surgery of the ovary the urine pasaanges may have been injured that is kidney. urethra. ureter. and bladder
2. we may have a metastatic disease in any of the urine passages
3.Pure infection not related to cancer. urethritis. cystitis. phylonephritis can give the same symptoms

You need to do some tests
MRI
Ct scan of pelvis however abdominal and chest for any reccyrence of disease.
Cytology of utine will akso be of help a repeat of the check up is always useful.
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What Causes Spotting And Hematuria After Oophorectomy?

Thank you for your question Yes after breast cancer and oophorectomy haematyria is not that uncommon There are many reasons 1. During surgery of the ovary the urine pasaanges may have been injured that is kidney. urethra. ureter. and bladder 2. we may have a metastatic disease in any of the urine passages 3.Pure infection not related to cancer. urethritis. cystitis. phylonephritis can give the same symptoms You need to do some tests MRI Ct scan of pelvis however abdominal and chest for any reccyrence of disease. Cytology of utine will akso be of help a repeat of the check up is always useful.