Blood in Urine two years after Brachey and EMRT

Hello friends



I haven't been back at this site for a while. I had my Brachey in July 2010 and finished my external radition in Dec 2010. All have been going well, except the last three PSA test showed PSA number rising from 1.0 to 1.2. Last one in March 2012. I have had burning sensation while urinating for the past few months, and tried two different drugs last being Hypofen tablet three times a day, to clear tract, but didn't work, so I stopped about 2-3 weeks ago. Prior to taking these drugs I had blood test done last year and there was no infection. Now this past three days I have seen visible blood in my urine. My oncologist said radiation has irritated Uretra, but I asked the Radiation was over a year and half ago. He said sometimes it happens a blood vesel breaks, but it should clear up in 2 days. It has been 3 days so far and with exception of couple breaks, it has not stopped. I have also been taking the flow max Tamsulosin HCL for a number of months. I have decided to stop this as well, and haven't taken it for 2 days, thinking may be it is causing trouble.


Pp


Has anyone else had similar situation experience? Thank you for taking time and reading my post.

Post Edited (Shaheen10) : 6/3/2012 12:37:59 PM (GMT-6)

Thanks Clocknut,

one thing I forgot to mention, is the first night it happened, I was playing with it. I am sorry to say this on this forum, but I was told by Dr. I have to treat this organ, as any other muscle.it needs to be exercised. Well due to ED, I haven,t been active for a while. So I tried to. Give it a work out.!. I didn't over do it either. As many of you guys know, the well dries up , and a. Drop or two is the most that. Comes out. perhaps in trying to get the fluid out, I may inadvertantly injured myself. any way the thought of bladder or kidney cancer is not good.
I did have kidney stone. Last year, but I think it passed. Today is 4th day, I will see how it goes. Tomorrow I will call and see if I can see uro. I hope this thing was due to exercise, as I sure don't like them inserting any tools in my. Penis

Thank you

I will try to correct it now. Or. The moderator can do it.

Two years out and have not experienced this yet. I guess I should keep my fingers crossed. Hope this clears up for all of you.

Joe

Hi Guys,

Thank you so much for the reply.

Skate. Thank you, now I am a bit relieved. So my Oncologist is right it happens. I just couldn't accept post trama almost two years ( it is actuall a year and 10 months). Come to think of it I had seen traces of blood on the toilet rim couple months back. But didn't think much of it. Now did you also have the burning sensation before and after peeing, or after you first noticed blood. This could be result of Bladder Infection.
In my case I have had the burning sensation for about three months. Besides this I have not had any issue with any portion of my treatment. My PSA last was 1.2 up from 1.1. It used to be 1.0, and my onco says it is called PSA Hike! It will go down. I sure hope so.
I know for us guys with just BT and RT, it will never be nil or < 1.0. Because we still have the prostate and they still create PSA. Soon I will collect my data and post it here. My gleason was 6.

John,

These are called "late term" side effects. I had some a year after radiation that lasted for several months. It's just a flare-up of symptoms that will most likely go away on their own. Some guys have these flares as much as 4-5 years later with brachy, but they diminish in frequency and intensity as time passes.

For the urinary symptoms, I found that Rapaflo helped a lot -- worked much better than Flomax for me, but we're all different. Sometimes scar tissue breaks off and it causes some bleeding that will resolve on its own. If not, or if it is copious, let your urologist know.

For the rectal side, the radiation causes a lot of little veins to come to the surface. These are like the "spider veins" (telangiectasias) sometimes seen under the skin or in the eyes. These break easily and some blood may leak into the stool or on the paper. Also, there may be hemorrhoids that were aggravated by the radiation that are breaking and bleeding. If the blood is bright red (fresh) there is usually no reason to worry. Stool softeners may help until they heal. Or, you can visit a proctologist who can get rid of them. I had some that were treated with a painless phenol injection (actually, it was soothing). I know it's always scary to see blood, but it's typically nothing important.

I think your RO should have told you that these things do happen so that you wouldn't worry.

- Allen

John -- had the same thing around the two-year mark.  doctors were unconcerned and after a 3 months or so symptoms all went away.  it's pretty common.

ed

 

Update:
2 years post BT

In the last few months have experienced burning urination, frequency, urgency, blood in urine once, and sore testicles.

My Urologist did a CT scan, checked for infection and prescribed Uribel, Flomax and Baclofen. Wants to do a Cystocopy to take a look. He says these symptoms are not unusual and usually go away on their own.

Also had blood in stool recently and the Doctor found vascular malformation due to radiation during colonoscopy. He cauterized it and have been OK since then.

Happy? New Year!

John

Did you ever determine what caused this burning and blood? Are you still on this site?