Blood in Urine in Men: Specialized Treatment in NYC
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Dr. Alex Shteynshlyuger is an experienced urologist in NYC. He has treated hundreds of men and women with blood in urine. If you have any questions, to schedule a consultation or if you need a second opinion, please contact us for an appointment.
Blood in urine is found either incidentally during routine urine testing or may be noted by the man himself. Blood in urine also called hematuria can be caused by a number of medical and urological problems. The causes of bloody urine are similar in men and women but there are some differences.
In males hematuria can be seen as slightly pink urine or red urine; sometimes the urine may be brownish red; blood clots can also be present. If you or someone you know has blood in the urine they should be evaluated by a urologist.
Urine can also appear yellow and have red blood cells in it that are only visible under the microscope.
It is also important to note that blood in semen is different from blood in urine as the causes and treatments are not the same. It is important to distinguish blood in urine, hematuria from hematospermia which is blood in semen.
Common reasons for hematuria in men include:
- Kidney, bladder, and ureteral stones
- Prostate infection (prostatitis)
- Prostate enlargement / BPH
- Bladder cancer
- Prostate cancer
- UTI (urine infection)
- Acute tubular necrosis & nephropathy
- Exercise (running or bicycling)
- Kidney and bladder infections (cystitis)
- Trauma to the kidneys or the bladder or urethra
- Kidney cysts tumors and masses
- idiopathic cystitis
- Polycystic kidney disease
- Bladder polyps tumors and masses
- radiation cystitis
- Chemotherapy-induced cystitis
- Urethral cancer
- Colon cancer
- Metastatic cancer to the bladder
Because the possibilities are numerous and the signs and symptoms associated with hematuria are nonspecific, a careful urological evaluation including history, physical and appropriately directed testing to establish the underlying diagnosis that is responsible for producing blood in urine is crucial.
The treatment of hematuria is directed at the underlying cause responsible for producing visible or microscopic hematuria in the first place. For men with BPH or enlarged prostate cancer, treatment of BPH usually leads to resolution of hematuria. In patients who are found to have bladder cancer as the cause of hematuria, management of bladder cancer is the goal of treatment.
We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts of the USA. We also see international patients from Canada, Japan, South America, Russia, Asia, Europe, Middle East, Africa, the Caribbean and other parts of the world.