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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > blood from penis
Expert: Arthur Goldstein, M.D.
Date: 10/1/2008
Subject: blood from penis
Question
after i take a number 2 blood drips frpm my penis and i noticed now that i have little pimple like bumps on my penis am i dieing do i have an std am i not having enough sex let me know plz
Answer
Mozel, the blood from the penis and the "pimple like bumps" are unrelated problems. This type of bleeding usually comes from the prostate gland. It is due to a tear in one of the fragile veins of the prostate (prostatic varices). It may occur from straining with bowel movements, or during urination or ejaculation. The prostate is the organ that produces the majority of the seminal fluid in response to sexual stimulation. When the prostate contracts at the time of ejaculation, a vein may tear and blood mixes with the semen (hematospermia). Red blood indicates new and dark (brownish) discoloration indicates previous bleeding. In addition, prostatic bleeding frequently is associated with gross blood during urination. This typically will occur with initiation or at the end of urination (as opposed to being throughout the entire stream). With the latter, it is often manifest as spots of blood on the underwear, pajamas or bed sheets. Irritation of the gland (prostatitis) can also cause it to become inflamed and predisposed to bleed. An inflamed or congested prostate gland, especially one with varices, can start bleeding if ones strains during a bowel movement. This occurs because hard stool can actually push on the adjacent gland precipitating bleeding or straining in itself may cause the varices to rupture. Some factors leading to inflammation include too frequent or too infrequent ejaculation, sexual arousal without ejaculation, withdraw at the time of ejaculation, excessive alcohol or spicy foods, prolonged sitting or bike riding, etc. The prostate may then become secondarily infected and require antibiotic therapy for cure. Sometimes as the prostate gradually enlarges with age, friable veins called varices develop on its surface. These are also prone to tearing. In such cases, Proscar or Avodart is sometimes prescribed to shrink both the prostate and the veins. Although hematospermia is not a typical sign of prostate cancer, its presence may indicate an increased risk of prostate cancer. Therefore, it is advisable to seek consultation with a urologist to evaluate this condition.
As far as the "bumps" are concerned, it is difficult to make this type of diagnosis over the internet without the ability to do a physical examination. Common causes would be a yeast or fungal infection, contact dermatitis, or a primary dermatologic condition (such a psoriasis, eczema, lichen planus, etc.). Bacterial infections involving the penile glans occur almost exclusively in uncircumcised men. They respond to proper genital hygiene and topical antibacterial creams. If refractory, circumcison is sometimes necessary for cure. Yeast and fungal infection usually respond to a 10 day course of medication such as Lotrimin cream. Contact dermatoses are much more difficult to track down as it usually infers that you penis is touching something it is allergic to. This can be a substance on your hands such as chemicals used at work, soaps, detergents used for under clothes, condoms, feminine hygiene sprays your partner might use, etc. The treatment is eliminating the cause and using at least 1% hydrocortisone or another steroid cream as needed. If one is uncircumcised, this bring in other potential factors. If you are not circumcised, let me know and I'll give you more information. If your problem is refractory, consultation with a urologist or dermatologist is suggested. Good luck.
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