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My fiance has been having episodes of hematuria. The first time it happened there was a copius amount of blood followed by the inability to control his urine. He got pale and faint. We called the doctor and he just said to make an appointment. A couple days later he woke up to an urgent feeling to urinate and he was, again, bleeding large amounts of bright red blood. He had a CT scan that showed "2 tiny stones in the kidney". The doctor's office called and said that the stones were not the cause of the blood and scheduled him to see a urologist. He was put on Cipro twice a day prior to having the CT for what the doctor thought might prostatitis. The CT showed no infection. We are worried and wondering what is causing this amount of bleeding. Should we be concerned with cancer?
Thank you for helping to give us an answer.


Yes, cancer is a possibility but most of the time we don't actually find anything.  Tiny stones in the kidney are another possibility, but most of the time no specific cause is found. The most common identifiable cause is usually a prostate problem.

CT scans cannot distinguish prostatitis or infection.  

Most of the time, a cystoscopy (look into the bladder with a special flexible scope) is needed to be sure there is no obvious cancer or other more serious problem.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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