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Prostate Cancer And Blood In Urine

How Is Benign Prostatic Hyperplasia Treated

What Does Blood in the Urine Mean? | Ask Prostate Expert, Mark Scholz, MD

Treatment options for benign prostatic hyperplasia may include

  • lifestyle changes
  • minimally invasive procedures
  • surgery

A health care provider treats benign prostatic hyperplasia based on the severity of symptoms, how much the symptoms affect a mans daily life, and a mans preferences.

Men may not need treatment for a mildly enlarged prostate unless their symptoms are bothersome and affecting their quality of life. In these cases, instead of treatment, a urologist may recommend regular checkups. If benign prostatic hyperplasia symptoms become bothersome or present a health risk, a urologist most often recommends treatment.

Are There Different Causes For Men

In some cases, blood in the urine may mean something different for men than for women. Blood may show up from either an enlarged prostate gland or prostate cancer.

And, both bladder and kidney cancers are more common in men than in women.

For 2018, the American Cancer Society estimates 42,680 new diagnoses of kidney cancer in men and 22,660 in women.

For bladder cancer, the society estimates 62,380 new cases among men and 18,810 in women in 2018.

The most common cause of bladder cancer is smoking, Dr. Abouassaly says.

The carcinogens get absorbed in the blood and filter into the kidneys and bladder and they just sit there, he says. I recommend if you are a smoker, do everything you can to stop smoking.

Your Psa Is Going Up Whats Going On With Your Prostate Good News: Second

Your PSA is going up. Whats going on with your prostate? Do you need a biopsy? Or, maybe youve already had a biopsy that didnt find cancer, but your urologist is wondering whether you need another one. Whats the next step?

Good news: You dont have to move directly to having needles stuck in your prostate! Its not the Monopoly bad-case-scenario of Do not pass Go, do not collect $200! There is a next step! Its a second-line test: a blood or urine test that can provide other layers of information beyond the basic PSA test. There are several good ones out there. Which one do you need? Well, as Marlon Brando said in the classic 1953 movie, The Wild One: Whadya got?

Theres no shortage of options! There are blood tests that provide more nuanced information than the basic PSA test, plus urine tests and even, if youve already had a biopsy, molecular biomarker tests, which arent done on body fluids but on tissue samples. These tests can be helpful, not only in diagnosing cancer, but in risk stratification predicting which cancer is more likely to be aggressive, and which cancer is less likely to need immediate treatment.

Now, about those other blood tests: In addition to the free PSA test, here are two more that include free and total PSA, but look for other factors, as well:

  • Copied

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What Are The Symptoms And Signs

The location of the prostate gland is fairly low in the pelvic region, below the urinary bladder and in front of the rectum. It lies in very close proximity to the urethra. The urethra is the tube that conveys urine from the bladder to the external environment. When the prostate gland swells, it tends to exert pressure on the urinary bladder as well as the urethra. Initially, there may be no significant disturbance. Eventually, however, the individual will notice certain changes in patterns of urination. The following symptoms are common manifestations of enlargement of the prostate gland:

  • The individual may find it difficult to initiate urination and may need to strain to force urine out.
  • There may be a reduced flow of urine.
  • The urine stream may pause intermittently.
  • Frequent urge to urinate, particularly at night.
  • The bladder is not voided completely upon urination.
  • Sudden, unexpected urges to urinate.
  • Urinary incontinence.
  • Exercise. When this is the cause, hematuria will usually go away in 24 hours.

Blood In Urine At A Glance

Prostate cancer
  • Blood in the urine occurs when blood cells leak into urine from some part of the urinary tract, which includes the kidneys, ureters, bladder and urethra.
  • If one sees blood in the urine, he or she should contact a doctor immediately to assess the cause.
  • Blood in the urine does not always indicate a serious condition, but warrants further investigation by a physician.

Also Check: Psa In Bph And Prostate Cancer

What Are The Signs & Symptoms Of Prostate Cancer

Prostate cancer symptoms do not usually manifest themselves in the early stages of the disease. Less than five percent of men with prostate cancer show early urinary symptoms. The condition has usually progressed to later stages when prostate cancer symptoms do arise.

Some men may experience symptoms that can indicate the presence of prostate cancer. Others may find out during a routine check-up, a blood test, or a rectal exam with their doctor. Because the symptoms of prostate cancer are similar to other symptoms patients, will need to go through further testing to determine whether they actually have prostate cancer.

Soreness In The Groin

When prostate cancer spreads, its common for cancer cells to go to your lymph nodes and then move to more areas of your body. The lymph nodes are a network of glands that help your body filter fluids and fight infections.

There are several lymph nodes in your groin. These are the ones closest to your prostate, so its common for the cancer to spread to them first. Cancer cells prevent your lymph nodes from draining fluid and working properly. When this happens, your lymph nodes swell. As a result, you might experience pain or soreness in the area.

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Blood In Urine After Radiation For Prostate Cancer

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How Is Hematuria Treated

Can prostate cancer cause blood in the urine

The treatment will depend on the cause. Infections are likely treated with antibiotics. Prescription medications may be used for particularly painful kidney stones, or they may be broken down using extracorporeal shock wave lithotripsy . An enlarged prostate could be treated using alpha blockers, or surgery depending on the severity.

Methods to prevent and avoid future issues with urine in the blood include drinking plenty of water, urinate immediately after sex, practice good hygiene and stop smoking. Some dietary changes can help such as reduced salt intake limiting certain foods like spinach and rhubarb.

So if youre dealing with blood in your urine make an appointment to let the doctors at Urology Center of Florida give you the treatment you need.

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What Tests Find Causes For Blood In The Urine

Your urologist will likely examine your upper urinary tract using a scan with dye that gives images from your kidneys to your bladder. This can check for stones, tumors or other abnormalities.

He or she will check the lower urinary tract with a scope that looks at the bladder, prostate and urethra. Your doctor also may perform other tests, such as a test for prostate cancer, as needed.

Sometimes doctors find that hematuria shows up in routine testing. A sample taken during an annual physical may find blood that isnt visible. When this happens, your doctor will send the sample to a lab to check for red blood cells.

Dr. Abouassaly stresses the importance of getting in to see your physician if you see even a trace of blood in your urine.

Cancers can bleed just one time and not again, he says. If you have doubts, a quick visit to your primary care provider can sort it out.

Prostate Cancer And Hematuria: What Causes Blood In Semen Or Urine

Blood presence in urine is known as hematuria, while hematospermia refers to blood in semen. These two conditions could be a result of recent urinary-related treatment or injury to the male reproductive organs. Benign prostatic hyperplasia could also cause an obstruction, leading to hematospermia or hematuria .

BPH refers to prostate gland enlargement, which is common in men as they grow older. It could be due to benign growths or damage to the blood vessels. The physician could run a screening test for the condition for those at risk of getting prostate cancer or who have attained the proper age to start screening.

You could undergo a DRE or PSA . Imaging procedures like ultrasounds and CT scans could be conducted if necessary. They provide a better understanding of your urinary, reproductive, and prostate organs.

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What Is Blood In Urine

Blood in the urine, also called hematuria, is due to blood cells leaking from some part of the urinary tract. This includes the kidneys, the ureters , the bladder and the urethra, which carries urine out of the body.

Blood in urine may be gross, meaning it is visible and the urine will be pink, brownish red, tea-colored, red or cloudy. It may also be microscopic, visible only under a microscopea situation that is usually discovered during a medical evaluation for some other reason or routine urine test.

Observing blood in the urine can be alarming, but it does NOT always indicate a serious condition. But because it can be a sign of a problem, a physician should always evaluate visible blood in urine. Often, treatment isnt necessary.

Gross Hematuria In Patients With Prostate Cancer: Etiology And Management

Blood in the Urine

Ofer N. Gofrit

1Department of Urology, Hadassah Hebrew University Hospital, P.O. Box 12000, Jerusalem 91120, Israel

2Department of Pathology, Hadassah Hebrew University Hospital, P.O. Box 12000, Jerusalem 91120, Israel

3Department of Urology, University of Montreal Hospital Center , 1560 Sherbrooke E, Montreal, Quebec, Canada


The objective of the study is to assess the etiology and prognosis of gross hematuria in patients with carcinoma of the prostate . From 1991 to 2011, 81 men with CAP were hospitalized with GH. Primary treatment of CAP was radical surgery in 13 patients and nonsurgical therapy in 68 , mostly radiotherapy and hormonal treatment . The common etiologies of GH in group 1 were bladder cancer and urinary infection . In contrast, CAP itself caused GH in 60% of the patients in group 2. Thirty-nine patients required transurethral surgery to manage GH which was effective in all cases nevertheless, the prognosis of group 2 patients was dismal with median overall survival of 13 months after sustaining hematuria, compared to 50 months in group 1 . We conclude that the etiology of GH in patients with CAP varies according to primary treatment. After radical prostatectomy, it is habitually caused by bladder cancer or infection. When the primary treatment is not surgical, GH is most commonly due to CAP itself. Although surgical intervention is effective in alleviating hematuria of these patients, their prognosis is dismal.

1. Introduction

3. Results


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Metastatic Spinal Cord Compression

Metastatic spinal cord compression happens when cancer cells grow in or near to the spine and press on the spinal cord. MSCC isnt common, but you need to be aware of the risk if your prostate cancer has spread to your bones or has a high risk of spreading to your bones. The risk of MSCC is highest if the cancer has already spread to the spine. Speak to your doctor or nurse for more information about your risk.

MSCC can cause any of the following symptoms.

  • Pain or soreness in your lower, middle or upper back or neck. The pain may be severe or get worse over time. It might get worse when you cough, sneeze, lift or strain, or go to the toilet. It might get worse when you are lying down. It may wake you at night or stop you from sleeping.
  • A narrow band of pain around your abdomen or chest that can move towards your lower back, buttocks or legs.
  • Pain that moves down your arms or legs.
  • Weakness in your arms or legs, or difficulty standing or walking. You might feel unsteady on your feet or feel as if your legs are giving way. Some people say they feel clumsy.
  • Numbness or tingling in your legs, arms, fingers, toes, buttocks, stomach area or chest, that doesnt go away.
  • Problems controlling your bladder or bowel. You might not be able to empty your bladder or bowel, or you might have no control over emptying them.

Dont wait

It is very important to seek medical advice immediately if you think you might have MSCC.

Read more about metastatic spinal cord compression .

What You Can Do

Its important that you learn all you can about advanced prostate cancer so you can make informed decisions. Be open with your doctors and others on your healthcare team. Express your concerns and feel free to advocate for yourself and your quality of life. Get another medical opinion if you feel its necessary.

Some complementary therapies may prove helpful in coping with advanced cancer. For example:

  • tai chi, yoga, or other movement therapy
  • music therapy
  • meditation, breathing exercises, or other relaxation techniques
  • massage

A variety of services can help you with everything from lodging while youre getting treatment to getting some help around the house. Communicating with online or in-person groups are a good way to share information and lend mutual support.

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Urine Test May Spot Aggressive Prostate Cancer

THURSDAY, Nov. 4, 2021

A urine test might one day be able to tell which prostate cancer patients need immediate treatment and which dont, British researchers report.

Prostate cancer can be divided into low and high risk the low-risk men rarely require treatment, and the high-risk certainly do, said study author Jeremy Clark, a senior research associate at Norwich Medical School at the University of East Anglia in Norfolk. However, there is a third group, called intermediate risk, which falls between these extremes, and the treatment pathway for these men is less clear.

Prostate cancer is common over 40% of 50-year-old men will have prostate cancer but not everyone is dying of it, so deciding which men to treat is not always easy, Clark said.

We have developed a simple urine test that can measure the presence of aggressive cancer and also how much aggressive cancer is present, he said.

The test appears to be able to assess how much aggressive cancer is present in these intermediate-risk men, and so could be used to identify a group of intermediate-risk men that could avoid immediate treatment, which includes surgery and radiotherapy, and instead, these men could be monitored by active surveillance by being retested yearly to see if their disease is stable or not, Clark said. Around a quarter of the intermediate-risk men could fall into this group.

The report was published Nov. 3 in the journal Life.

More information

How Do I Use A Leg Bag

Urine test for prostate cancer?

If you are up and about, you’ll want to use a leg bag to drain your urine. The bag is attached to the end of your catheter and is strapped to youre your lower leg. Use the leg bag straps to hold the catheter tubing to your thigh and the bag to your lower leg. This will prevent the catheter from tugging and possibly being pulled out.

You should empty your leg bag every three to four hours or sooner if it is half full. To empty the leg bag:

    • Wash your hands with soap and water.
    • Stand or sit near a toilet or sink.
    • Loosen the strap closest to your knee so that the bag hangs over the toilet.
    • Remove the cap and open the clamp. Do not touch the drain port with your fingers or let the drain port touch the toilet seat.
    • Drain the urine out of the leg bag.
    • After the urine has drained out, wipe the drain port and cap with a cotton ball or gauze soaked with rubbing alcohol.
  • Close the clamp and put the cap back on.
  • Wash your hands with soap and water

To changing the leg bag to the night drainage bag:

  • Wash your hands with soap and water
  • Pinch the catheter tubing closed with your fingers.
  • Remove the leg bag.
  • Clean the tip of the night bag with a cotton ball or gauze soaked with rubbing alcohol. Connect the night bag to your catheter.
  • Clean the leg bag following the directions in the section, How do I clean my urine collection bags?
  • Wash your hands with soap and water.

Plan For Cleaning Your Urinary Catheter

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Why Is My Pee Red

There’s no doubt about it: Seeing red in your urine can be scary. This likely needs to be checked out by a doctor, but red or pinkish urine in and of itself is not a reason to panic. There are many explanations for why you may see red in your urine, and many are totally benign and or easily treatable. Plus, not all red pee is the result of blood in urine.

“Urine can have a range of colours, from clear yellow to dark red,” says Tolulope Bakare, MD, an assistant professor in the department of urology at UT Southwestern Medical Center in Dallas.

The colour of your urine can change for many reasons, including the food you eat, the medicines you take, how much water you consume, how hard you hit the gym, and/or any underlying medical conditions.

Here’s what you need to know about blood in urine, red pee, and more.


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