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Urology/Blood coming from urithra

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QUESTION: Hi last night I was getting aroused and I had to use the bathroom I felt like a sting or burn maybe not sure but at the time there was no blood I got done using the bathroom and had intercourse with my wife went to bed woke up the next morning and there was blood all over the head of my penis. I thought maybe it was like a urine infection or bladder but I realized that it's not really in my urine it's like in the shaft of my penis again when I go pee it comes out first bright red then the pee and some coagulated blood. Also blood comes out when I'm not peeing. Please let me know what could be going on

ANSWER: Jesse,
I would not rule out this coming from the urinary tract just because you woke up with blood but emptied your bladder before bed. 1st question is are you a smoker or have you been in the past 12 years ? 2nd , have you had symptoms of pain in the spece between the the anus and testes? 3rd, do you have a history or family history of kidney stones?

After answering these questions I may be able to narrow down a possible differential diagnosis. Now for a definitive diagnosis a cystoscopy, urine analysis, and kidney ultrasound are warranted at this point to rule out a bladder tumor, kidney stone or prostatitis/UTI infection. Kidney cancer can be a diagnosis but is not nearly as common as the others. Remember guessing is not science and in modern western medicine we test test test to narrow down probable causes.

---------- FOLLOW-UP ----------

QUESTION: No pain pain when urinating a little sting near the head no history of what I know of kidney stones now it's not as bad as it was when I woke up no blood discharge just a little clot comes out when I pee no pain anywhere

Answer
Jesse,
My recommendation is the same , you do not have to have pain for any of the conditions I described. You will likely have pain if you ignore this red flag and do not go to a urologist.. The only thing worse than those conditions is those conditions in an advanced stage that could have been avoided with an early diagnosis.

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Thomas A Suppe RDMS CLT

Expertise

Invervential urologic radiology , urologic laser surgery, cryotherapy of the prostate and kidney, extracorporal shockwave lithotripsy, holmium laser lithotripsy, urodynamics (video-non video),male infertility, erectile dysfunction, Peyronies disease, hypogonadism ,kidney stones, prostate cancer detection, BPH, voiding dysfunction, bladder cancer and continent diversions.

Experience

For the past 20 years performing intervential and diagnostic uro-radiology for a multitude of urologic surgeons from New York, New Jersey, Lousianna and Texas. Founder of DMS medical LLC introducing the Texas Medical Center to the first high power Green Light laser for the treatment of BPH just after its release by the FDA from Laserscope and its sucessful trials at the Mayo Clinc.

Organizations
American Registery of Diagnostic Medical Sonographers (ARDMS), American Urologic Assocoation (AUA), American Medical Systems (AMS) Laserscope,Oncura, Allergan and Auxilliam pharmaceuticals.

Publications
Comprehention of Urologic Ultrasonography for the Resident Physician (Journal of Urology 2012), Author of the syllabus for the uro-radiology residency course at The Scott Dept of Urology at Baylor College of Medicine Houston Texas (2010 to present). Past Clinical Studies: Principal radiology investigator Allergan Inc for "The treatment of BPH with intra-prostatic injections of Botox" with Larry I Lipshultz MD 2011-2012, principal radiology investigator for Allergan Inc for "The treatment of Peyronies disease by intra-lesional penile injections of Botox" with Mohit Khera MD MBA MPH (2011-2012). Current studies: Principal investigator of "Blood pressure risk factors of intra cavernosal injections of Trimix and PGE1 during Penile Duplex's.

Education/Credentials
BS from Ramapo College of NJ, Registered diagnostic medical sonographer with the ARDMS, 2 year fellowship of Uro-Radiology and intervential sonography at Baylor College of Medicine Houston TX, laser safty officer in state of Texas and certified in KTP, Holmium and Lithium Tri-boride laser systems from Laserscope San Jose, California and American Medical Systems Minnatonka Minnasota, trained and certified by Oncura Inc Isreal in ultrasound guided argon cryotherapy of the prostate and kidney.

Awards and Honors
Honorary instructor of GU ultrasound course 2012 international meeting of the American Urologic Association. Author of the the AUA course for "Ultrasonography of the Testes and Scrotum" 2012.

Past/Present Clients
Baylor College of Medicine (BCM) Lousianna State University (LSU), LSU Medical Center Shreeveport LA, The Methodist Hospital Houston Texas, St Lukes Episcopal Hospital Houston Texas, Memorial Herman Health Systems Houston Texas, Palestine RMC Texas, Doctors Regional Hospital Corpus Christi Texas, Valverde Regional Medical Center DelRio Texas, Current instructor/technologist for two internationally recognized urologists : Larry I Lipshultz MD and Mohit Khera MD, MBA, MPH at Baylor College of Medicine. I served as intervential sonography consultant for Oncura Inc cryotherapy systems. Former lead trainer for Urosource mobile medical services , training new surgeons in PVP or photo-selective vaporization of the prostate for BPH, BNCs and urethral stricture vaporization.

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