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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Enlarged Prostate With Hematuria

I have hematuria without a specific diagnosis other than enlarged prostate (for which I take fenesteride) off and on for about three or four years. I have undergone 3 cystoscopies which have disclosed no abnormalities or malignancies. The latest cystoscopy was on Sept 7. On Sept 24, I passed a few drops of fresh red blood from the tip of my urethra before actually passing urine. This has recurred a few times, although it has decreased in intensity. On prior occasions, when urinating, the urine and blodd were mixed, now, the fresh blood precedes the urinne. The doctor s staff attributes this passage of blood to possible irritation of the urethra caused by the cystoscopy on Sept 7, but if that were true, wouldn t.t the bleeding have shown up before 17 days? Can you shed some light on this?
Fri, 19 Jul 2019
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General Surgeon 's  Response
Hi,

These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be a sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings. In most cases, it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Enlarged Prostate With Hematuria

Hi, These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be a sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings. In most cases, it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon