Patient's question:
Medical Description: The patient is a 28-year-old male with a previously healthy condition. Last night, after sexual intercourse and ejaculation, he did not urinate immediately. Fearing that semen might leak, he used paper money to cover his penis. In the middle of the night, he urgently got up to urinate but forgot to remove the toilet paper in front of the urethra. He did not turn on the light and did not see it. Unable to urinate and experiencing pain at the urethral opening, he promptly removed the toilet paper, but it was already too painful. He urinated while in pain but thought nothing of it. At 7 a.m. the next morning, he noticed blood at the urethral opening and a small amount of blood clot being flushed out during urination, accompanied by a stinging sensation. However, there was no blood in the urine. It is estimated that the bleeding was caused by a tear in the urethra between the middle and front of the penis. The hospital doctor examined the surface and found no issues. A urine test showed three plus red blood cells. The doctor mentioned that the blood test and urethral scope examination would be expensive and require a long wait, costing several hundred dollars. For now, he was advised to take three days of Paeonia lactiflora tablets and Ciprofloxacin tablets.Doctor's answer:
Hello, the occurrence of hematuria is generally pathological, such as nephritis, renal vascular system disorders, urinary tract infections, tumors, trauma, stones, etc. However, transient hematuria can also occur after upper respiratory infections, other febrile diseases, dehydration, or intense exercise, and this is considered a normal phenomenon. It is recommended to undergo a routine urinalysis.It is advised that your husband further undergo a routine urinalysis, a prostatic fluid routine examination, and a B-ultrasound of the urinary and reproductive system. After confirming the cause, treatment should be administered. It is recommended to drink plenty of water, avoid spicy and irritating foods, quit smoking and alcohol, and pay attention to personal hygiene.
It is recommended that you actively visit the urology department of a hospital for a thorough examination and receive symptomatic treatment as soon as possible based on the test results.