AboutArthur 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
Question I had BPH Green Light Surgery on Feb. 2 2007. It's now been well over a month and I'm still having blood in my urine at the start of the stream. The blood is red, not pink or brown. I would say the first 10% is this way. I also must take Oxybutynin all the time or I get terrible/painful bladder spasms! Is this still a normal condition after this type of surgery?
Answer Dan, whether the obstructing prostate tissue is removed with a green light laser or the traditional TURP using an electric current, a raw bed is created inside of the prostate gland. When urine passes through this area, it causes some burning. Also, contraction of the bladder during urination actually squeezes on the adjacent, traumatized prostate gland causing bladder spasms. Scabs also form at the operative site that can periodically shed and cause some bleeding with urination. It takes somewhere between 6-10 weeks for this raw area to heal completely as a new lining actually forms inside the prostatic fossa. During the healing phase, the symptoms should gradually lessen and then disappear entirely once total re-epithelialization of the fossa is completed. Hang in there. Better days are in the not too distant future. Good luck.
