Blood in Urine--concerned

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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 12/8/2009 10:17 PM (GMT -6)   
Howdy.
 
I had my biopsy on 11/30 (8 days ago). The initial pee had some blood but pretty much cleared up after that.
 
But today I've noticed some blood in the urine (not copious, but still a bit noticeable).
 
I'm hoping that this is nothing to worry about, but I am concerned.
 
Any thoughts about this?
 
Mel
63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/8/2009 10:42 PM (GMT -6)   
Mel, that would still be in the common range, even though its unpleasant to see, your body is still flushing things out.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys ,cath #8 33 days, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 12/8/2009 10:53 PM (GMT -6)   
It takes only a very small amount of blood to produce some amazing color. If it persists into tomorrow afternoon, call your doctor and let him make the call.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 12/8/2009 11:10 PM (GMT -6)   

Actually it's not that colorful-- it may be a bit on the rusty side--could old blood still go from the prostate to the urine?

 

Anyway, I'm relieved that it isn't a cause for alarm!

 

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 12/8/2009 11:17 PM (GMT -6)   
It is old blood. Darker is better. Soon, it will turn brown. That's a good sign.
Have you seen the blood in your semen yet? yikes. It too, will turn brown as it flushes out.
Paul
www.franktalk.org ED website for PCa guys


46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 12/8/2009 11:36 PM (GMT -6)   

No, I haven't done the semen part yet, but I expect a YIKES with that.

I just don't think of blood in the urine as old blood. It is definitely not bright red; it is dark.

 

I was just so pleased with such a minimal amount of bleeding after the procedure and then it was fine, but now it's not.

 

I'll count on this not being serious.

 

Mel

 


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 12/9/2009 3:19 AM (GMT -6)   
Hi Compiler

It takes approx 2 weeks to flush out the blood in the urine and ejaculation fluid. Drink lots of water to aid in the flush and you know what to do to flush out the semen quicker

If you are alarmed by the red, wait to you get to the dark brown, thats gave me the willies, but it passed quickly
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2218
   Posted 12/9/2009 7:29 AM (GMT -6)   
How much blood there is must depend to some extent what the biopsy needle makes holes in.

I had blood in my urine for about two days, but blood in my semen for nearly six weeks. And that was perfectly normal I was told. The colour of the blood in the semen got gradually darker and after about ten days it also got gradually less. (My tip is to use a condom)

Alfred

Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 12/9/2009 7:55 AM (GMT -6)   
I had like one tiny drop of blood the day of my biopsy.  Then without any trauma or provocation I had bright red bleeding suddenly onset with each urination lasting about 24 - 30hours then just as mysteriously…gone. No pain, no sensation at all, but visually very provoking.
jnm
Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 12/9/2009 11:27 AM (GMT -6)   

Well, my point is that I initially had a drop of blood (first pee after biopsy) and then it has been fine, until last night. I am talking about blood in the urine. In all honesty, I haven't ejaculated yet, but I am prepared for that "show."

 

But it was very disconcerting last night to suddenly have blood in the urine (not red, more on the dark/brown side I think). I increased my water intake. After about 3-4 such pees, it seems to have resolved.

 

I hate this disease, and I am only at the start of this journey.

 

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 12/9/2009 2:40 PM (GMT -6)   
Oh and it will be a show all right. I'm pretty sure when Cerberus squirts, it looks just like that.
It is best to do it in the dark so you can't see.
J
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 10/31 3 months, Still no activity, nada, zip
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/27 2 months: Still 3 pads per day.
11/14 4 month: Still 3 pads per day. 420ml/day, 91 um leak. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks- 0.05, 10/13 3 months- 0.04 undetectable.


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 12/9/2009 8:23 PM (GMT -6)   
Cause for alarm . . . no cause . . . nobody here can say and you shouldn't rely on such opinions. If you're concerned then call your primary care physician or urologist.

Age:  60 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0

 

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