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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Worried About The Occasional Blood Spots In The Underwear With Normal PSA?

I have noticed very light spots of blood on occasion in underwear. Not a daily occurrence. Am 70 now and had 81 I125 seeds implanted for prostate cancer in 2007. PSA at that time had gone up to 5.83. Ever since PSA has not been significant enough to even register. Last test was 4 months ago. Don t feel there is anything to be worried about but would like to know in the event I m wrong. Thanks.
posted on Sat, 17 May 2014
Twitter Tue, 18 Nov 2014 Answered on
Twitter Tue, 18 Nov 2014 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you shoukd get done fresh PSA level as your last report is 4 months back.
And spotting suggest blood in urine. And it is not a good sign In prostate cancer patient.
Another possibility is infection.
So better to rule out infection and worsening of prostate cancer.
So get done urine examination, PSA level and rectal ultrasound for prostate.
Consult your urologist first and discuss all these.
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Should I Be Worried About The Occasional Blood Spots In The Underwear With Normal PSA?

Thanks for your question on HCM. In my opinion you shoukd get done fresh PSA level as your last report is 4 months back. And spotting suggest blood in urine. And it is not a good sign In prostate cancer patient. Another possibility is infection. So better to rule out infection and worsening of prostate cancer. So get done urine examination, PSA level and rectal ultrasound for prostate. Consult your urologist first and discuss all these.