blood in urine 3 weeks post op? anyone? cause?

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Regular Member

Date Joined Sep 2008
Total Posts : 20
   Posted 9/16/2008 6:13 PM (GMT -6)   
I mentioned this in another post , havent had any answer yet. Hubby had a little blood yesterday when he peed but only once, then again today, once. Today just a pink tinge in beginning of stream. Doc says this happens sometimes at this stage. Cant picture the male anatomy without the prostate but assuming the urethra was attached to it before? Any sites where there might be a diagram of anatomy after prostrate removed? Anyone else experiencing this that can reassure us? Hubby seems a tad concerned. otherwise, he feels fine.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 9/16/2008 8:41 PM (GMT -6)   
Here's a link to a before and after diagram. The urethra is drawn up from where it was cut into, under the prostate and attached directly to the bottom of the bladder. The bladder underside will have 2 or more suture lines, holding the incisions together, along with the attached urethra, so blood for several weeks after surgery is normal, especially with bowel movements, or other exertion. Nothing to worry about as long as it isn't lots of it and bright red, or the urine flow stops because of blockage by a clot.

Here's a link to a nifty rotating diagram of the normal prostate and male anatomy to give you an idea of how it all relates.
James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
7/31/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0, 9 mts.-0.

Post Edited (James C.) : 9/16/2008 7:46:10 PM (GMT-6)

Regular Member

Date Joined Jun 2007
Total Posts : 176
   Posted 9/17/2008 8:53 AM (GMT -6)   
Had the same. Doc said think of a wound and a scab. After awhile, the scab starts to come off, maybe even bleeds a bit. He said the same thing happens internally. I actually had a small clot of blood come out in my urine several weeks after surgery and it freaked me out since, while not at all painful, I felt it come through my urethra, ugh! He said not to worry, and he was right. Nothing else after that.
43 yo. now
5/07 PSA 4.65 at routine physical
6/07 biopsy Gleason 7 (3+4)...diagnosed at 41 y.o.
6/07-9/07 manic research and interviews with physicians across the country in search of the "right" decision.  I went to Mass General in Boston, Loma Linda, University of Chicago and Northwestern.
9/17/07 - RRP at Northwestern Memorial by Dr. William Catalona.  Thankful the father of the PSA test was right here in Chicago.
Post op path report confirmed Gleason 7 (3+4). negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g.  
9/27/07 - catheter removal...let the games begin...
12/31/07 - threw out the pads (I only had used 1 pad per day for protection against minor drips)
I started Trimix 8 weeks after surgery with success.  I hope someday I won't need injections, but I hope more that my PSA stays at 0 forever.
9/17/08 One year past surgery and doing well.  PSA less than .1 and ED continues to get better and showing reasonably good results using Levitra which for a long time did nothing. 

Regular Member

Date Joined Sep 2008
Total Posts : 20
   Posted 9/17/2008 8:57 AM (GMT -6)   
THANK YOU! that makes sense since hubby said yesterday he thinks a clot came out . So maybe nothing from now on. I think i will call him and tell him, or somehow copy and paste your response and email it to him. We found this forum together, but i am the one on it!

Regular Member

Date Joined Sep 2008
Total Posts : 20
   Posted 9/17/2008 8:58 AM (GMT -6)   
Thanks James, i emailed the b/a link to hubby.
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