 Urology Related Forums
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Welcome to the Urology Forum! This forum is for questions and support regarding urology issues such as: Benign Prostate Disease, Curvature (Penis), Cystisis, Kidney Stones, Pediatric Urology, Prostate, Sexual Dysfunction, Urinary Tract Infections, Urological Cancers.
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| remlap 4/14/2004 | . | 60 yr. old healthy male, recent psa 2.2, benigh nodule on somewhat enlarged prostrate (urologist exam. 3/30/04), ultrasound biopsy scheduled 5/04. over past 3 to 4 weeks have increased sexual frequency to 1 to 2 X's day with 100mg Viagra and one time trial of Cialis, supplemented by 50mg of viagra per 2 days (approx 10 days ago) yesterday experienced non-painful, bright red blood discharge with exaculation...subsequent, non-painful urination exhibited decreasing pink urine, resulting in visually clear after 3 urinations... questions: 1. what is likely diagnosis? 2. what is likely causation? 3. is this a likely side effect of Viagra or Cialis? 4. is an immediate contat with urologist recommended? |
| Forum-M.D.-KYP 4/14/2004 | remlap | To answer your questions: 1) There are a variety of causes for hematospremia (blood in the ejaculate). They include benign and malignant disorders of the prostate gland, seminal vesicles, spermatic cord, and ejaculatory duct system; urogenital infections; metastatic cancers; and vascular disorders. However, it is often impossible to know with certainty whether these conditions are the cause of hematospermia. The cause is idiopathic (i.e. without a clear cause) in a substantial proportion of patients, and the condition frequently resolves spontaneously. 2) see above 3) It is unlikely a side effect of those medications. 4) I would discuss this with your urologist. Normal next step would be a transrectal ultrasound to evaluate the prostate - in your case, you are already having a biopsy. You may want to consider moving up the procedure date. Followup with your personal physician is essential. This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case. Thanks, Kevin, M.D. Bibliography: Weiss et al. Hematospermia. UptoDate, 2004. | [Thread closed to new comments] |
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For emergency, please see your doctor or call 911.
