What Causes Blood Tinged Urine After Catheter Insertion?

Posted on Mon, 10 Aug 2015

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

Mon, 10 Aug 2015 Answered on

Tue, 1 Sep 2015 Last reviewed on

Question : I had hysterectomy two weeks ago but was injured by a catheter inserted prior to the procedure(experitoneal injury). The injury was repaired and i was sent home with a catheter for 17 days. Its going to be removed this thursday. However, i still discharge some clots in urine and sometimes urine tinged with blood. I have no fever and feel mild pain. Could there be a problem? Should i perform any test or scan prior to cathter removal?

Answered by Dr. Deepti Verma (14 minutes later)

Brief Answer:
Detailed answer below

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.Injury to the bladder during catheterization leads to damage to bladder lining, and the urine will be mixed with blood or will be blood tinged till the injury is completely healed.
You should report this to your treating doctor, and he/she might consider delaying the removal of catheter by one week more, so as to facilitate healing of the bladder injury.Delay should be considered in your case and catheter should be removed once the urine is no more blood tinged.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma.

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

Follow up: Dr. Deepti Verma (13 hours later)

Thankyou, but is there any test i should do to be sure that the injury is healed completely?

Answered by Dr. Deepti Verma (3 minutes later)

Brief Answer:
Urine routine and microscopic examination

Detailed Answer:
Hi dear, yes you should get a urine routine and microscopic examination from the urine collected from the catheter. If it shows more than 10 red blood cells per high power field, then the catheter removal should be delayed by another one week.
Hope you found the answer helpful . Please do get back for further queries .
Wishing you good health.
Regards
Dr Deepti Verma

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