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what causes blood in your urine after radiation treatment for prostate cancer

by Lempi Littel Published 2 years ago Updated 2 years ago
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Hematuria

Blood in Urine

Presence of red blood cells in the urine.

(blood in urine) can occur in patients with newly diagnosed prostate cancer as a result of cancer overgrowth that causes symptoms such as a urinary infection or difficulty voiding. More commonly, blood in the urine can occur during radiation treatment for prostate cancer. Bleeding from Prostate

About blood in the urine
Pelvic radiotherapy can damage the nerves that control the bladder muscles. Another side effect is it may also narrow the tube that carries urine out of the body (the urethra). Pelvic radiotherapy can cause blood in the urine (haematuria).

Full Answer

What causes bleeding after prostate radiation?

Nov 09, 2021 · This occurs in 1-2% of men after radiation treatment to the pelvis all the prostate. The bladder and the prostate become friable and bleed easily. Hematuria as a result of radiation cystitis typically occurs many years after treatment. A number of treatment options available, including fulguration, intravesical instillations, medical treatment.

Is urine culture routinely necessary before prostate biopsy?

Feb 16, 2012 · Hematuria (blood in urine) can occur in patients with newly diagnosed prostate cancer as a result of cancer overgrowth that causes symptoms such as a urinary infection or difficulty voiding. More commonly, blood in the urine can occur during radiation treatment for prostate cancer. Bleeding from Prostate

What causes blood in urine after putting stent?

Aug 02, 2020 · Radiation creates scar tissue. The blood in urine happens when the scar tissue breaks off and passes. The breaking off causes temporary bleeding. My doctors say not to worry unless urinating becomes blocked. j-o-h-n 2 years ago See your Doc.... he/she gets the big bucks.... Good Luck, Good Health and Good Humor. j-o-h-n Monday 08/03/2020 9:57AM DST

What is causing bleeding after a biopsy on the prostate?

Mar 15, 2021 · Possibly: Radiation therapy can cause inflammatory changes in the bladder which can result in microscopic blood in the urine. However a urine cytology should be... Read More 5.3k views Reviewed >2 years ago Thank Dr. Jesse Mills and another doctor agree 7 thanks

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What causes blood in urine after prostate radiation?

The etiology of late hematuria following prostate cancer radiation therapy is multi-factorial [27]. Urolithiasis, benign prostatic enlargement (BPH) and urologic malignancy were the most common non-radiation associated causes in our patients.Feb 19, 2015

Is bleeding normal after prostate radiation?

Background. Chronic rectal bleeding is one of the most common complications of radiation therapy for prostate cancer. The etiology of radiation proctitis is considered to be chronic mucosal ischemia caused by tissue fibrosis and obliterative endarteritis.Jun 12, 2012

Can radiotherapy cause blood in urine?

Radiotherapy to your pelvic area can make the blood vessels in the bladder more fragile after your treatment has ended. This can cause blood in your urine. This is usually only a small amount of blood. It is important to tell your doctor if this happens.

Is it normal to bleed after radiation treatment?

Bleeding. Occasionally, radiotherapy to the pelvis can cause bleeding, which will show up in your bowel movements or urine, or from your vagina. This is usually caused by an increased growth of small blood vessels in that area after the treatment. If you notice this, tell your doctor.

What causes prostate bleeding?

Bleeding of prostatic origin is usually caused by the friable hypervascularity of the aging prostate. Suppression of angiogenesis can be achieved through any hormonal manipulation that causes androgen deprivation. We present 4 cases of severe recurrent hematuria treated successfully by this approach.

How long does proctitis last after radiation?

Patients who experience radiation proctitis most typically experience rectal bleeding, which can begin as early as four to six-weeks after the initial treatment, for as long as nine-months after the radiation treatment has ended.

What causes blood in urine male?

Blood in the urine (hematuria) is common men. Common causes include an enlarged prostate, urinary tract infections, bladder infections, kidney infections, bladder or kidney stones, bladder or kidney trauma, and certain medications.Mar 7, 2022

Can radiation cause bladder problems?

Radiation therapy to the pelvis (including reproductive organs, the bladder, colon and rectum) can irritate the bladder and urinary tract. These problems often start several weeks after radiation therapy begins and go away several weeks after treatment has been completed.Jan 23, 2020

Can radiotherapy damage bladder?

In some people radiation treatments can lead to incontinence (problems holding urine) later on. Radiation can damage the lining of the bladder. This is called radiation cystitis and can cause long-term problems such as blood in the urine or painful urination.Jan 30, 2019

What is the most common acute side effect of radiation treatment?

Fatigue is the most common acute side effect of radiation therapy. It is believed to be caused by the large amount of energy that is used by the body to heal itself in response to radiation therapy. Most people begin to feel fatigued about 2 weeks after radiation treatments begin.

What are the symptoms of radiation proctitis?

Symptoms
  • A continuous or frequent feeling that you need to have a bowel movement.
  • Mucus discharge from the rectum.
  • Rectal bleeding.
  • Rectal pain and/or pain with bowel movements.
  • Diarrhea.
  • A feeling of fullness in your rectum.
  • Pain on the left side of your abdomen.
  • Abdominal cramps.

Why does my urine turn bloody after radiation?

Persistent bloody urine after radiation therapy should be fully evaluated due to increased risk of bladder cancer in men with prostate cancer as well as increased risk of secondary bladder cancer after radiation therapy.

Why does my prostate bleed in my urine?

There are a number of reasons men with prostate cancer develop bleeding in urine. Hematuria (blood in urine) can occur in patients with newly diagnosed prostate cancer as a result of cancer overgrowth that causes symptoms such as a urinary infection or difficulty voiding.

What is a urologist in New York?

At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of hematuria and urinary problems. We understand the challenges that urinary bleeding creates for our patients, their relationships, and their self-esteem. We help you find a treatment for blood in the urine that is effective and safe.

How long does it take for hematuria to bleed after radiation?

The bladder and the prostate become friable and bleed easily. Hematuria as a result of radiation cystitis typically occurs many years (5-20 years) after treatment. A number of treatment options available, including fulguration, intravesical instillations, ...

How long does it take for blood to go down after prostate surgery?

In addition, blood in urine is expected after surgery for prostate cancer. Typically the amount of blood should be small and should resolve within a week after surgery. However, you might see a small amount of blood in urine on and off for a few weeks after surgery.

What is the best treatment for intermittent hematuria?

A number of treatment options available, including fulguration, intravesical instillations, medical treatment. Hyperbaric oxygen treatment has been shown to be beneficial for men with persistent intermittent hematuria. If you experience blood in urine before, after, or during treatment for prostate cancer, urological evaluation should be sought.

Can prostate cancer cause blood in urine?

More commonly, blood in the urine can occur during radiation treatment for prostate cancer. A small amount of bloody urine can be expected after a prostate biopsy that is performed to diagnose prostate cancer. In addition, blood in urine is expected after surgery for prostate cancer. Typically the amount of blood should be small ...

Does radiation cause blood vessels in bladder?

Prominent blood vessels in the bladder lining are common after radiation. Was recently routinely scoped at Duke for bleeding; doctor showed me the bv's and said they would bleed from time to time. They do!

Can radiation cause blood in urine?

It’s not uncommon after radiation. I had radiation to the pelvic region 18 months ago and still get blood in urine every once in a while. Radiation creates scar tissue. The blood in urine happens when the scar tissue breaks off and passes. The breaking off causes temporary bleeding. My doctors say not to worry unless urinating becomes blocked.

What happens if a man has a prostate biopsy?

Biopsy side effect: If he had a prostate biopsy to rule out cancer, the blood in his urine is likely coming from this and should clear rapidly. Otherwise, he needs to be ... Read More

Can radiation cause blood in urine?

Possibly: Radiation therapy can cause inflammatory changes in the blad der which can result in microscopic blood in the urine. However a urine cytology should be ... Read More. 2 doctors agree. 0.

Does urine have blood in it?

Blood in urine: Yes...Any blood in urine requires urologist eval.

Is bleed in urine a tumor?

Get a medical check: Bleeding in the urine in a young person is less likely related to a tumor. You should seek a visit with a good internist and let him/her run tests to ... Read More

Do you need a urologic evaluation for prostate cancer?

Cystoscopy: You need a urologic evaluation including ct scan and cystoscopy. It could be irritation from the prostate radiation but bladder cancer after prostat... Read More

What Are The Signs & Symptoms Of Prostate Cancer

Prostate cancer symptoms do not usually manifest themselves in the early stages of the disease. Less than five percent of men with prostate cancer show early urinary symptoms. The condition has usually progressed to later stages when prostate cancer symptoms do arise.

Why Is There Blood In My Urine

Theres no doubt: Seeing blood in your urine can be scary! This condition, called hematuria, is fairly common and has many possible causes. If medical intervention is required, the treatment will depend on the underlying cause of the condition.

What Is Advanced Prostate Cancer

Prostate cancer is cancer that starts in the prostate gland. Advanced prostate cancer occurs when it has spread, or metastasized, from the prostate to other areas of the body.

Advanced Prostate Cancer Symptoms

Men with advanced prostate cancer may experience additional symptoms. Thats because the cancer has spread from the prostate to other parts of the body, such as the bones or lymph nodes.

Blood In Urine Experienced As Symptom Of Prostate Cancer

Depending on the stage of the disease, patients with prostate cancer may experience symptoms related to urinary problems, including a slow or weak urinary stream or the need to urinate frequently , erectile dysfunction, pain in the hips, back, chest, or other areas from cancer that has spread to bones, weakness or numbness in the legs or feet.

Talking With Your Doctor

Different kinds of doctors and other health care professionals manage prostate health. They can help you find the best care, answer your questions, and address your concerns. These health care professionals include:

Metastatic Spinal Cord Compression

Metastatic spinal cord compression happens when cancer cells grow in or near to the spine and press on the spinal cord. MSCC isnt common, but you need to be aware of the risk if your prostate cancer has spread to your bones or has a high risk of spreading to your bones. The risk of MSCC is highest if the cancer has already spread to the spine.

Why does blood come out of my urine?

Other causes of blood in the urine include: Medications ( anti-inflammatory NSAIDs , acetylsalicylic acid , warfarin or clopidogrel ) Prolonged and repeated physical exercise (in particular , the marathon ). Acquired or congenital dysfunctions of platelet aggregation or coagulation. Endocarditis.

Why does my urine have blood in it?

menstrual flow, the apparent presence of blood in the urine may be due to contamination with vaginal bleeding or endometriosis of the urinary tract. For all these reasons, in the face of suspicion of hematuria, it is essential to perform a urine test promptly to obtain confirmation of the actual presence of blood inside them.

What does it mean when you have blood clots in your urine?

Blood Clots In Urine. The term hematuria indicates the presence of blood in the urine. It can be a visually appreciable phenomenon ( macroscopic hematuria ) or a sneaky event, ascertainable only through the microscopic search for red blood cells in the urinary sediment.

What does it mean when your urine is red?

Urine may appear blood-colored (frank hematuria) or have a pinkish tint or cloudy. Appearance. This feature can vary based on the severity of the bleeding and the timing with which it occurred. Frank hematuria (red): indicates considerable bleeding in progress. “Flesh-washed” hematuria indicates slight bleeding.

How does hematuria come out?

The urine, produced by the kidney, is conveyed into the bladder through small tubes called ureters; from here, through the urethra, it comes out with the act of urination. For this reason, until a few years ago, hematuria’s diagnosis was based on the three-glass test. If gross hematuria becomes evident in the third cup, or if the colour becomes more and more intense as the flow continues, it is probably bladder hemorrhage, mild in the first case and more severe in the second final, if there are traces of blood in all three glasses, it is generally a hemorrhage upstream of the urinary tract, i.e., at the level of the kidneys or ureters.

Why does urine turn red?

In gross hematuria, the urine color varies according to the amount of blood loss; a hemorrhage of 1 ml is enough to make the phenomenon visually appreciable. The macroscopic presence of blood in the urine generally causes the liquid to take on different red shades. In some cases, however, the blood traces can give the urine a different color. For example, when the urinary pH is unusually acidic, the renal excretion product takes on shades closer to dark brown.

How long does it take for blood clots to be collected?

This should be closed carefully immediately afterward and should be taken to the laboratory within two hours. However, some tests must collect all the urine released over a whole day (24 hours).

Are There Different Causes For Men

In some cases, blood in the urine may mean something different for men than for women. Blood may show up from either an enlarged prostate gland or prostate cancer.

Your Psa Is Going Up Whats Going On With Your Prostate Good News: Second

Your PSA is going up. Whats going on with your prostate? Do you need a biopsy? Or, maybe youve already had a biopsy that didnt find cancer, but your urologist is wondering whether you need another one. Whats the next step?

What Are The Symptoms And Signs

The location of the prostate gland is fairly low in the pelvic region, below the urinary bladder and in front of the rectum. It lies in very close proximity to the urethra. The urethra is the tube that conveys urine from the bladder to the external environment.

Blood In Urine At A Glance

Blood in the urine occurs when blood cells leak into urine from some part of the urinary tract, which includes the kidneys, ureters, bladder and urethra.

What Are The Signs & Symptoms Of Prostate Cancer

Prostate cancer symptoms do not usually manifest themselves in the early stages of the disease. Less than five percent of men with prostate cancer show early urinary symptoms. The condition has usually progressed to later stages when prostate cancer symptoms do arise.

Soreness In The Groin

When prostate cancer spreads, its common for cancer cells to go to your lymph nodes and then move to more areas of your body. The lymph nodes are a network of glands that help your body filter fluids and fight infections.

How Is Hematuria Treated

The treatment will depend on the cause. Infections are likely treated with antibiotics. Prescription medications may be used for particularly painful kidney stones, or they may be broken down using extracorporeal shock wave lithotripsy . An enlarged prostate could be treated using alpha blockers, or surgery depending on the severity.

How long did it take for a man to have a bumpy urine after radiation?

That is until about 2-5 years later when he notes blood in his urine or exacerbation of the urinary symptoms again.

How long should you wait to pee if you have blood in your urine?

You can wait up to 7- 10 days if necessary.

What happens if a catheter can't be passed?

If a catheter can’t be passed or if catheter keeps being obstructed by clots then the patient often times is taken to the operating room by the urologist and under anesthesia places a rigid cystoscope that is of larger diameter than the catheter and doesn’t collapse on itself , to irrigate out all the clots, stop the bleeding point and then placing the largest three-way catheter as possible.

What happens when a nurse gets a catheter in?

If the nurse is able to get a catheter in then the clots are attempted to be irrigated free so that urine can flow into the catheter and in turn relieve the patient. What normally happens is the irrigation of clots and release of urine and hence relief for the patient is piecemeal.

What is radiation cystitis?

Radiation cystitis is a term for the same process of the bladder mucosa. The normal vascularity of the inner lining of the bladder becomes more reddened, the vessels more prominent. In some cases the vessels in one spot change and in other patients the whole bladder is involved.

What is a diplomat after radiation?

Blood and clots in the urine after radiation for prostate cancer. “A diplomat is a man who always remembers a woman’s birthday but never remembers her age.”. – Robert Frost. Of the top ten questions I have gotten over the years about misconceptions/misunderstandings of the various treatment of prostate cancer-the concept of the delayed effect ...

Is a clot voiding a bad case?

Bleeding, with clots and difficulty voiding is a bad case scenario because now the urologist has to do something to get the clots out, place a catheter and get things flowing again. He may or may not have to be fulgurated or treat a bleeding vessel which is the culprit.

How long does it take for side effects to show up after radiation?

Some side effects might show up quickly, but others might not show up until 1 to 2 years after treatment. Talk with your radiation oncologist about what to watch for and when to call your doctor. If the cancer is in many areas, sometimes the whole brain is treated with radiation.

How long does it take for radiation to cause side effects?

Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.

How long does it take for radiation to show up in the brain?

Radiation to the brain can also have side effects that show up later – usually from 6 months to many years after treatment ends. These delayed effects can include serious problems such as memory loss, stroke-like symptoms, and poor brain function.

How long do side effects last after radiation treatment?

Early side effects happen during or shortly after treatment. These side effects tend to be short-term, mild, and treatable. They’re usually gone within a few weeks after treatment ends. The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area.

What is the most common drug used for radiation therapy?

The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy. Not all doctors agree on how these drugs should be used in radiation therapy. These drugs have their own side effects, too, so be sure you understand what to look for.

How long does it take for radiation side effects to go away?

Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation.

What is the best treatment for radiation?

One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.

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