Blood in Urine: Could It Be Prostatitis? - Urology

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Recently, I went to the hospital to check for kidney stones?


The X-ray results show no signs of stones, but the doctor mentioned that I have a slight hematuria and elevated levels of urethral inflammation.
They advised me to collect urine for further testing and bacterial culture, which will take seven days.
I would like to ask the doctor if it is possible that I have prostatitis.

Niming, 20~29 year old female. Ask Date: 2018/01/09

Dr. Du Shixi reply Urology


Hello: You need to return for a follow-up examination to check if the blood in urine and the urinary tract inflammation index have returned to normal.
Acute prostatitis can cause fever and may require hospitalization, while chronic prostatitis is difficult to diagnose (at least a culture is needed), so it cannot be easily diagnosed.
Wishing you good health.

Reply Date: 2018/01/09

More Info


Blood in urine, or hematuria, can be a concerning symptom and may arise from various underlying conditions, including prostatitis, urinary tract infections, kidney stones, or even more serious conditions like tumors. In your case, the presence of blood in your urine alongside elevated inflammation markers in your urinary tract suggests that there may be an inflammatory process occurring.

Prostatitis, which is the inflammation of the prostate gland, can indeed cause symptoms that may overlap with what you are experiencing. While prostatitis is more commonly associated with symptoms such as pelvic pain, difficulty urinating, or painful urination, it can also lead to hematuria in some cases. The inflammation in the prostate can irritate the surrounding tissues, potentially leading to bleeding that may be visible in the urine.

Given that your X-ray did not reveal any kidney stones, it is essential to consider other possible causes of your symptoms. The elevated inflammatory markers in your urine could indicate a urinary tract infection (UTI), which is a common cause of hematuria. UTIs can occur in both men and women and may present with symptoms such as increased frequency of urination, urgency, and sometimes pain or discomfort during urination. However, it is also possible to have a UTI without significant pain, especially in the early stages or in certain individuals.

The next step, as your doctor suggested, is to conduct a urine culture to identify any bacteria present in your urine. This test will help determine if there is an infection and what type of bacteria is causing it, which will guide appropriate antibiotic treatment if necessary. It is important to wait for the results of this culture, as they will provide valuable information regarding the presence of an infection.

In the meantime, it is crucial to monitor your symptoms closely. If you experience worsening symptoms, such as increased pain, fever, chills, or any other concerning signs, you should seek medical attention promptly. Additionally, staying well-hydrated can help flush out your urinary system and may alleviate some symptoms.

As for the possibility of prostatitis, if the urine culture comes back negative for infection, and if your symptoms persist, it may be worthwhile to discuss this possibility further with your healthcare provider. They may consider additional diagnostic tests, such as a prostate exam or imaging studies, to evaluate the prostate and rule out any other conditions.

In summary, while prostatitis could be a potential cause of your symptoms, it is essential to wait for the results of your urine culture to determine if there is an infection or another underlying issue. If you have ongoing concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for further evaluation and management.

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