Are Large Blood Clots Followed By By Bleeding After A Urethral Stricture Dilation Normal?

Posted on Fri, 1 Jun 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 1 Jun 2018 Answered on

Wed, 3 Feb 2021 Last reviewed on

Question : Had a urethral stricture dialation about a week ago have been getting large blood clots for the last few days been able to pass them with some effort. Last two days has been less clots but still bloody at times been drinking lots of water to flush is this out. Is this normal after one week

Answered by Dr. Bhagyesh V. Patel (2 days later)

Brief Answer:
not normal. needs urine report and ultrasound examination.

Detailed Answer:

Hello,

* As per my surgical experience, this is not normal to pass blood clots at one week
period of stricture dilatation surgery.

* The most common surgical reason behind this is urinary infection with cystitis
and formation of blood clots or already retained clots inside bladder during the
procedure which are passing with time.

* My recommendations at present

- Get prescription of a urine microscopy and ultrasound examination of abdomen
& pelvis with your doctor for definite line of management.
- Consume cranberry XXXXXXX once daily in a glass of drinking water.
- Maintain your blood sugar.
- Keep the genitals clean with antiseptic liquid.

Welcome for further queries.
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (52 minutes later)

Thankyou for your reply going on almost two weeks now of off and on blood with
clots have burning feeling after urination when blood and clots are present. After drinking much water it clears for up to 24 hours but comes back repeatedly. Blood is dark red. Extremely frustrating situation. Anything more I can do before appointment with doctor. I drink lots of water maybe too much

Answered by Dr. Bhagyesh V. Patel (19 minutes later)

Brief Answer:
follow up .

Detailed Answer:

Hi,

* Additional guidelines before meeting your doctor

- Consume more fruits with citrus and vitamin c content as lemon juice, oranges
which will support healing of possible internal inflammation.

- You definitely require antibiotic support ( as third generation cephalosporin or
others ) to prevent secondary infection, which can be taken after prescription
from your doctor only.

Wish you fine recovery.
Take care.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (2 hours later)

If this continues (bleeding and clots) what are the options for treatment typically

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
follow up .

Detailed Answer:
Hi

The best option is to recheck cystoscopy and bladder wash to remove any residual clot as well as control of any minor bleeder.

Thanks.

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Above answer was peer-reviewed by : Dr. Prasad