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Why is there blood in the urine with prostate adenoma


Why Is There Blood In The Urine With Prostate Adenoma

Blood in the urine with prostate adenoma


Contents: Can there be blood in the urine with adenoma What is the danger of the duration of hematuria What can stop the blood Hematuria occurs as a symptom of hyperplasia or a complication after the operation. Sometimes, spotting is accompanied by purulent patches. Blood in the urine with prostate adenoma is detected by the patient himself while going to the toilet. In some cases, the presence of hematuria is recognized during a clinical detailed analysis.



Can there be blood in the urine with prostate adenoma


The main reason why urine with blood comes with prostate adenoma is the venous congestion that accompanies the disease. An enlarged prostate disrupts the normal circulation of fluids in the pelvic organs. Over time, the violations become so serious that red blood cells begin to enter the urine of men.


Blood in the urine with prostate adenoma may be the result of surgical intervention TURP, vaporization, ablation, etc.


The following hematuria catalysts are generally accepted:



  • Adenomectomy - complete removal of the prostate gland, invasive surgery. The result is bleeding that lasts 2-3 days after surgery. Possible complications, when a month after surgery, the patient has repeated hematuria, accompanied by a rise in temperature.
  • Enucleation - performed using laser therapy. In fact, the tumor is exfoliated from healthy tissue, without damage to adjacent areas. Hematuria is observed during the day.
  • Embolization is a minimally invasive intervention, the essence of which is to block all the blood arteries that feed the gland. The effectiveness of the method is that even malignant neoplasms can be treated with embolization. As a rule, there is no bleeding after embolization, but slight hematuria is possible immediately after surgery.
  • TUR is a surgical operation to excise damaged tissue. A small incision is made to insert the instruments. After partial or complete removal of the prostate by transurethral resection, heavy bleeding occurs within 2-3 days.
  • Vaporization - during this method, damaged areas of tissue are evaporated with a narrow beam. Minimally invasive method. Bleeding is observed no more than 24-48 hours.
  • Laparoscopy - the method is used to remove malignant neoplasms. After laparoscopy, hematuria is negligible. Possible complications.
  • Puncture - bleeding after histology is observed in 45-55% of cases. To reduce hematuria, the patient is advised to refrain from blood thinners.

The presence of blood in the urine with prostate adenoma is possible without surgical intervention. Hematuria has a different intensity. From a small volume, which practically does not affect the color of urine, to large blood clots that can completely block the ureter.



How dangerous is the duration of hematuria


Blood in the urine appears in cases that directly indicate related pathological processes. Blood discharge, one of the first signs of a benign or malignant formation.


There is a direct relationship between prostate hyperplasia and blood in the urine. In any case, differential diagnosis will be required to understand what type of pathology will have to be dealt with.


If there is blood in the urine after a diagnostic or surgical procedure, an additional examination is performed.


Consequences of prolonged bleeding:



  • Severe anemia - in severe cases, a blood transfusion is given.
  • Occlusion of the urinary tract - blood clots in the urine compress the channel, which leads to a deterioration in the removal of fluid from the body. If resuscitation measures are not taken in time, general sepsis of the body is observed.
  • Macrohematuria after surgery is normal. But, if the presence of red blood cells in the urine is observed 3-4 days after surgery, this indicates serious problems, non-healing of tissues, internal bleeding.

The need for additional diagnostics exists in every case of hematuria.



What can stop the blood


In order to remove the blood in the urine, a catalyst is installed that caused this. After contacting the urological center and conducting differential diagnostics, an individual course of therapy is developed.


Staining of urine with blood occurs at the second stage of BPH, the installation of a catheter, taking drugs that reduce pressure on the bladder and ducts can help.


Brown urine is observed in patients suffering from an infectious inflammatory process that requires antibiotics and a course of anti-infective drugs. An accurate diagnosis and effective therapy will be prescribed by the attending physician, after a complete examination.



Hematuria is a common symptom in prostate adenoma


Hematuria is the discharge of blood during urination. There are many reasons for its occurrence, one of which is the presence of a benign formation in the prostate gland in a man, namely prostate adenoma. At the first staining of urine in red, you should immediately seek qualified medical help. The urologist will be able to conduct a comprehensive examination and identify the true cause of blood in the patient's urine.



Causes of erythrocytes in the blood


Many different factors can provoke the appearance of hematuria, we list the main ones:



  • trauma, hydronephrosis, cystoscopy, failed catheterization;
  • rupture of hyperemic vessels of the prostate, bladder, ureter, kidneys due to rapid emptying of the bladder (when using a catheter);
  • sclerosis and vascular fragility;
  • the presence of bladder stones in a person, malignant tumors, kidney pathologies, blood diseases;
  • cystic diseases of the pyramids, nephrotic anomalies of ptosis;
  • intoxication of the body with various medications, the harmful effects of anticoagulants and the acquisition of a bacterial or viral infection by a person;
  • pyelonephritis, scarlet fever, typhoid fever, yellow fever;
  • angiomatous changes;
  • intense physical exercise (long-distance running);
  • prostate adenoma.

As can be seen from the list of reasons for the appearance of colored urine, there are more than enough, so only an experienced doctor will be able to establish an accurate diagnosis during a comprehensive examination. Each patient must understand that it is impossible to delay such a significant symptom, otherwise it can lead to prolonged hospitalization.



Factors contributing to the formation of the disease


In addition to the main reasons, there are also a number of factors that significantly increase the chances of acquiring such an unpleasant ailment.



  • family history of kidney disease;
  • age-related enlargement of the prostate (typical for men over the age of 50);
  • Urolithiasis;
  • taking certain antibiotics and pain medications.

You can also notice the scarlet color of urine when eating the following foods: rhubarb, paprika, blackberries, beets. Substances such as quinine, metronidazole, rifampicin, phenolphthalein and various food colorings can also cause a change in the color of the urine of any person.


The diagnosis of the disease should be approached very carefully, since it will not be easy to identify the cause of its occurrence. Testing and an ultrasound examination will help to make an accurate diagnosis.



Hyperplasia is the cause of blood in the urine


Hematuria is a very common occurrence in a person with a benign prostate tumor. The cause of its appearance is venous congestion in the pelvic organs due to an enlarged prostate. As a result of this factor, there is difficulty urinating and the appearance of red blood cells in the urine of a man. With the complete recovery of the prostate gland, this unpleasant symptom will also disappear.


For the treatment of hyperplasia, drug treatment or surgical intervention is used. The stages of treatment directly depend on the degree of development of the disease. Therefore, in order to exclude the development of all kinds of problems with men's health, it is necessary to immediately seek help from the clinic at the first manifestations of benign neoplasms in the prostate gland.



Varieties of manifestation of a symptom


According to the degree of manifestation of blood in the urine, macro and microhematuria are distinguished. In the first case, every man can easily see blood during urination. Its appearance will be very noticeable and cannot be confused with other abnormalities in the body, since copious blood clots in the urine or a dark red color will frighten any member of the stronger sex. In the second case, the blood cannot be seen with the naked eye. To detect red blood cells in the blood, you will need to pass a urine test. The presence of 1-3 red blood cells in the fluid is not a reason for the presence of hematuria. And if more than 5 units of erythrocytes are detected, it is already necessary to immediately find out the cause of the appearance of blood in the urine for its prompt elimination. Microhematuria can be determined by examining the sediment in the urine under a microscope or by performing the Nechiporenko test.


Macrohematuria is also different. It is divided into initial, terminal and total. All of them differ from each other in terms of the manifestation of erythrocytes in the urine.


The initial stage of the disease can be determined by the presence of blood at the beginning of urination, the second portion of urine will already be clean. The terminal stage manifests itself vice versa upon completion of urination, and the first portion of urine will be absolutely light. The total stage is distinguished by the manifestation of erythrocytes during the entire process of emptying the bladder. Each patient can easily understand the stages of the disease.



Clinical manifestations


According to the picture of the clinical manifestation, the following degrees of hematuria are distinguished:



  • recurrent;
  • persistent;
  • isolated;
  • associated with progenuria;
  • pain;
  • painless.

Only a qualified doctor will be able to determine the exact degree of the disease.



Topical diagnostics


It is possible to identify the source of erythrocytes entering the urine by the presence of clots in it. Worm-forming clots confirm the release of blood from the upper urinary tract, the ureter. Thin, cylindrical clots about 7-10 centimeters in length characterize the entry of red blood cells into the urine during renal bleeding. Shapeless formations speak of problems directly in the bladder.


Also, do not confuse hematuria with urethrorrhagia, which is characterized by the presence of blood not during urination, but outside it. This can be caused by the acquisition of various injuries, the presence of polyps, condylomas, urethral cancer, or prolapse of the mucosa.



Disease diagnosis


At the first change in the color of urine, frequent urination and sudden urge to go to the toilet, you should definitely visit a doctor. To begin with, the doctor will fully study the patient's family and personal medical history, since there are more than enough reasons for the appearance of blood in the urine. The urologist will then perform a digital rectal examination. Thus, it is possible to exclude or confirm urological diseases in the patient and to probe the size and structure of the prostate. If a man feels pain during palpation and the doctor finds any seals, then the man’s further action will be to undergo an ultrasound examination and, possibly, it will be necessary to donate prostate material to identify a benign or malignant neoplasm.


Other tests to check for hematuria include: blood tests for signs of infection, prostate specific antigen levels, urinalysis, kidney and bladder ultrasounds, and cystoscopy.


Thus, it will be possible to conduct a thorough examination of the bladder mucosa and determine the presence of tumors or other diseases. According to the examination, the doctor will already be able to draw up a general picture of the course of the disease, identify the cause of its appearance and prescribe a full-fledged treatment. It is imperative to undergo a comprehensive examination in order to forever forget about the presence of blood during urination.



Cure disease


The purpose of treatment directly depends on the true cause of hematuria. If in a man the manifestation of red blood cells in the urine is associated with significant physical exertion, then it is simply enough to reduce them and the disease will go away on its own after some time. In case of a negative reaction to the use of certain medications, it is simply enough to exclude their use.


If the change in urine color is caused by diseases of the kidneys or bladder, the presence of prostatitis, then the treatment will be directed to the use of appropriate drugs and the constant supervision of the attending physician.


If a patient has prostate adenoma, a man will need to take additional tests to determine the degree of the course of the disease. In the first stages of the development of the disease, the patient will be able to get by with the use of inhibitors and alpha-blockers. They will help eliminate unpleasant symptoms and significantly reduce the size of the enlarged prostate gland.


If there is no progress during drug treatment, the doctor will prescribe surgical intervention. Performing one of the operations of the surgeon's choice, such as prostatectomy, transurethral method, vaporization, prostomy, laser therapy, or vascular embolization, will help eliminate the appearance of blood in the man's urine. The option of surgical intervention will be chosen according to the patient's health status and in terms of the previous treatment method.



Prevention


To avoid problems with the prostate and prevent the appearance of hyperplasia, it is worth paying special attention to preventive measures. The most important factor for maintaining excellent male health is the mandatory annual examination by a urologist. Even if a man does not have any problems with the prostate, it is still worth visiting a doctor to completely exclude the possibility of prostatic hyperplasia.This is especially true for men over 45-50 years old, since age-related changes in the body often lead to disruption of the normal functioning of the prostate.


It is also worth paying special attention to proper nutrition, to exclude the abuse of alcoholic beverages, fast food and smoking cigarettes. Hypothermia, emotional stress and poor ecology can provoke the development of many male diseases. And moderate physical activity, regular sex life and adherence to the drinking regimen will help maintain excellent prostate health for many years.


Hematuria is a clear clue from your body to the presence of a certain disease. Therefore, all necessary measures should be taken immediately to eliminate the disease. With proper and timely treatment, you can forever forget about the presence of red blood cells in the urine. Treatment is always on time!



Blood in the urine in diseases of the prostate


The prostate is a small male gland. It is located below the bladder and next to the rectum. The task of the prostate is to produce a special fluid that contains sperm. It protects the sperm during the fertilization process.


If the prostate swells, becomes tender and inflamed, then this condition is called prostatitis.



Blood in the urine with prostatitis


The appearance of blood in the urine can indicate many factors:


When blood is found in the urine, a man may be disturbed by pain during urination, frequent urge to go to the toilet. Pain may also be present during bowel movements. The body temperature rises due to the inflammatory process in the body.


In addition to the presence of blood, the presence of pus is often observed. Difficulty urinating is the first sign of prostatitis. The presence of inflammation in the prostate can lead to deformation of the tissue of the blood vessels, hence the appearance of blood in the urine. Urinary incontinence often leads to re-infection, as basic hygiene is not observed, and this leads to complications of prostatitis.



Prostate adenoma and blood in urine


The presence of blood in the urine with prostate adenoma should alert a man. You need to see a doctor urgently. The accumulation of urine is the cause of an enlarged prostate. This causes terrible pain and discomfort to the man.


The appearance of blood in the urine with adenoma may be the result of damage to the wall during the insertion of the catheter. Blood may appear during the procedure, as well as after it. In very narrow areas, advancing the catheter can cause very severe bleeding.


When a catheter is inserted into the bladder, blood also appears in the urine of a man. This is due to the fact that the sensitive walls in the urethra are damaged.


After the catheter is inserted, the bladder empties abruptly. This leads to damage to the walls of the bladder, canal, and kidneys.



Blood in urine for prostate cancer


Blood in the urine is one of the main signs of malignant tumors in the prostate. Due to the location of the prostate, cancer can affect both the reproductive and urinary systems.


Depending on the stage of the disease, patients may experience the following symptoms:



  • Problems with urination. Urine can come out very slowly, or vice versa, the patient has a feeling of constant desire to go to the toilet.
  • Decreased erection.
  • Pain in the hips, back, chest, or other areas from cancer that has spread to the bones.
  • Weakness or numbness in the legs.
  • Blood in urine or semen.

The appearance of blood in the urine with prostate cancer usually occurs in the later stages of the disease. This symptom cannot be ignored. Instead of the usual pale yellow urine, men may notice that it turns pink, red, brownish red, or the color of tea leaves. In some cases, it may not be visible to the naked eye, but the presence of red blood cells in the urine can be detected by laboratory testing of the urine.


The tumor may cover one of these structures, while the appearance of blood in the urine can also be a side effect of radiation therapy.



After a prostate biopsy, blood in the urine


A biopsy is a procedure used to remove a small piece of tissue or cells from the body so that they can be examined under a microscope.


In a prostate biopsy, tissue is removed with a biopsy needle or during surgery. The tissue is checked for cancer or other abnormal cells in the prostate.


After the procedure, there may be blood in the urine or stool for several days. In addition, the semen may also have a red or rusty tint caused by a small amount of blood in the semen. This goes away in a few weeks.



Blood in urine after prostate removal


The appearance of blood in the urine after an operation to remove an adenoma is associated with the formation of blood clots in the urethra.


If the bleeding is not severe, then this is a normal physiological process. It lasts for 7 days. When heavy bleeding does not take a moderate form for more than 2 days, then you need to tell your doctor about it.


If blood is found in the urine, a man should immediately consult a doctor. Since early diagnosis of the disease can be the result of a good treatment of the disease.