What Causes Blood In Urine Post Recovery From Prostate Cancer?

Posted on Fri, 18 Mar 2016

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

Fri, 18 Mar 2016 Answered on

Wed, 25 May 2016 Last reviewed on

Question : I just found blood in my urine. I'm 8years out after prostate cancer and have had nothing but undetectable PSA blood tests with ultra sensitive PSA tests ever since external beam radiation in 2008.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Can be due to UTI .

Detailed Answer:
Hello Thanks for your query,based on the facts that you have posted it appears that you had Cancer Of Prostate which has been treated with external Beam Radiation 8 years back and has noticed Hematuria since very recently .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have any urinary symptoms like Frequency for urination ,urgency for urination etc ?
2) Are you taking any medication especially Aspirin ?

In view of your PSA being undetectable hematuria that you have is unlikely to be due to recurrence of cancer of prostate .It could be mostly due to UTI .However other causes of Hematuria has to be ruled out .

Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
4) Endoscopic Examination of bladder (Cystoscopy)

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar